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• New Purchase or   Additional Licenses • Upgrade Existing   Licenses secure online credit card processing INTERAC® Online Payments Accepted Here. Learn More Here. ........................................................................................................................................................................................... New Purchase or Additional Licenses ***The 5 and 20 Packs includes savings between 5% to 15%.*** Note : The Packs only applies to new or additional purchases of 5 or more licenses. ............................................................................................................................................................................................ Client Track 5.0 : Information 1. Enter Product Number From Your 30-Day Free Trial Version of Client Track ................................................................................................................................................................ Product Number : ................................................................................................................................................................ Note : If you have not installed Client Track yet or do not have access to your Product Number, just leave the above field blank and contact us. 2. Enter Company Name Listed On Your Billing Information Company Name : 3. Select Your State Select One -------------------------- California New York 4. Enter Resellers Number From Your Authorized Reseller ................................................................................................................................................................................... Resellers Number : ................................................................................................................................................................................... Note : If you do not have a Resellers number, you can leave the above field blank. 5. First Time Purchase?  Yes  No 6. Select Type of Edition .....................................................................................................................................................................................  Personal Tax  Small Business  Time & Billing ..................................................................................................................................................................................... 7. Quantity of License(s) 8. Enter your Promotional Code (case sensitive & no spaces) ................................................................................................................................................................................... ................................................................................................................................................................................... Note : If you do not have a Promotional Code, you can leave the above field blank. 9. Select Type of Annual Maintenance Plan ..................................................................................................................................................................................... Basic Gold ..................................................................................................................................................................................... Note : Maintenance Plans are included free of charge for the first year of your initial purchase of Client Track. ..................................................................................................................................................................................... Subtotal 1: $ Promotional Code Discount : $ Subtotal 2: $ Total Taxes : $ TOTAL : $ ..................................................................................................................................................................................... ..................................................................................................................................................................................... SUMMARY ..................................................................................................................................................................................

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