Commonsense Dispatch Order Form

Dispatch
Order Form

To place an order, fax this form to: (708) 585-3381, or mail this form to:
GroupApps.com, Inc.,110 Oneida Ave., Croton-on-Hudson, NY 10520

Name:

__________________________________________________________________________

Email:	___________________________________________________________________________
Title:	___________________________________________________________________________

Company:

________________________________________________________________________

Office Phone:

____________________________

Fax:

_____________________________________

Street:

_________________________

City:

_____________________

State:

_____

Zip:

_________

Item Description	Part No.	Quantity	Unit Price	Extended Price
Dispatch Server License for Lotus Notes R4/5	DISP-R4/5-SVR	.		.
Dispatch Site License for Lotus Notes R4/5	DISP-R4/5-STE
Dispatch Server Annual Maintenance	DISP-SVM
Dispatch Site Annual Maintenance	DISP-STM
Dispatch Phone Support	DISP-SUP
SUBTOTAL:				.
NY Customers add SALES TAX:				.
Electronic Delivery (specify email address above)				N/C
Add $15 for Next Day Shipping:				.
TOTAL ORDER:				.

Payment Information:
GroupApps.com accepts the following forms of payment:

Corporate Check payable to "GroupApps.com, Inc."
Purchase Order with payment terms of "Net 30 Days"
American Express

If paying by American Express, please provide the following information:

Money-back Guarantee:
If you are not completely satisfied with your purchase, simply return the product within 60 days for a full refund.