7/17/2019 SpamSentinel Reseller Order Form 2011

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  MayFlower Software

SpamSentinel Reseller Order Form

Order information ( customer detail):

Invoice number: ( if applicable)Company name:

Full address:Telephone:

Full name of contact:

Email address for contact:Emergency contact name and telephone:

Product detail:SpamSentinel Server: Domino Echange

SpamSentinel Server !ith "#: Domino Echange

SpamSentinel $osted Service%ther:

 &umber of users:

"nnual dates of service:'rice uoted to customer:

eseller percentage:

"mount due to *ayFlo!er:Special instructions:

We must have the following details to process via credit card:

Credit card type ( *astercard+ #isa+ "merican Epress):Full name+ as it appears on card:

Credit card number:Epiration date:

CDD Code:

*ailing address associated !ith credit card:

Wire Transfer Details:

Bank of America 100 Federal Street, Boston, MA 02110USA

Bank Routing Numer!026009593

Swift "ode! BOFAUS3N

Bank Account Name! AB" Software #nc$, %BA MayFlower Software

Bank Account Numer! 00&'&'()('

 PaPal: fpaolino,maysoft-com

44 Stoneymeade Way Acton, MA 01720 (978) 635-1700