                    *** PRO-FORMA INVOICE ***

Product:  Secure Source Backup (SSB)
Release:  Version 2.0 (September 3, 2014).
Price:    $55.00

Remit to:                        Customer Info:

MarshallSoft Computing, Inc.     Name _____________________________________
Post Office Box 4543
Huntsville AL  35815             Company __________________________________
USA
                                 Address __________________________________
Voice: +1-256-881-4630
                                 City State _______________________________

                                 Postal Code ______________________________
email: order@marshallsoft.com
  web: www.marshallsoft.com      Country __________________________________

                                 Phone ____________________________________

                                 Email_____________________________________

We accept American Express, VISA, MasterCard, Discover, Paypal, checks in US dollars 
drawn on a US bank, and International Postal Money Orders (such as Western Union).


*** PURCHASE ***

The evaluation version is fully functional. Purchased software can not be
returned.
  
Credit card holder's email address: _______________________________________

For credit card sales: [ ] AmEx   [ ] M/C   [ ] VISA   [ ] Discover

 Credit Card Number:_________________________________ Expires:______________

 Card Verification Code (CVV) ______  (Visa/Mastercard - last 3 digit number on back of
 credit card; American Express - 4 digit number on front of card).
 
 Credit Card Holder Name:___________________________________________________

 Credit Card Holder Addr:___________________________________________________

 Credit Card Holder City:____________________________
 
 State or Country:_________________________  Postal/Zipcode :_______________

 Credit Card Holders Signature:_____________________________________________

IMPORTANT: Software can only be emailed to the card holder's email address.
We do NOT email to anonymous (free) email addresses (hotmail, etc.).

[END]

