Contents
- Index
Unlimited Use Order Form U.S.A.
Yes! I want to continue using Donarius® beyond the 30 day trial period.
Please send me an activation code for the base version plus these modules:
[] Pledge Tracking The base version is $63.97 US
[] "Gifts in Kind" and "Gifts with Advantage" and each module is $16.50 US
[] Pre-authorized Deposits / Online Donations Subtract 25% from your order
[] Customized Tax Receipts if you will have 100 active
[] Letters, Emails & Text Messages donors per year or less
[] Relationships and Families
[] Photo Directory
My Serial # is: A3 - _____ - _____ (click on Serial Number on the main window)
Name: _________________________________
Church: _________________________________
Address: _________________________________
_________________________________
Here is my phone #, in case you need to contact me: _________________
Send the activation code to this
email address: ___________________________
I would like to pay:
[] with a check or money order for the
amount in the chart below, payable to:
Nuverb Systems Inc.
27 Lawnview Dr.
Toronto, ON M2N 5J9
[] Send me a CD - I will add $10.00 to my check.
[] by VISA, MasterCard, AMEX or Discover
Charge my card for the amount circled in the chart below
Card #: _______ _______ _______ _______ Expiry Date: ___ / ______
Name on Card: ______________________ Signature: _____________________
Total cost depending on how many modules you want:
Just Base Version 1 Module 2 Modules 3 Modules 4 Modules 5 Modules
$63.97 $80.47 $96.97 $113.47 $129.97 $146.47
Total cost with 25% off:
$47.98 $60.35 $72.73 $85.10 $97.48 $109.85
Thank You
A receipt will be sent to you by email. All items are F.O.B. Toronto, Canada