Contents
- Index
Unlimited Use Order Form Canada (GST)
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 $67.97
[] "Gifts in Kind" and "Gifts with Advantage" and each module is $18.00
[] 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 cheque 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 + GST to my cheque.
[] 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 with GST depending on how many modules you want:
Just Base Version 1 Module 2 Modules 3 Modules 4 Modules 5 Modules
$71.37 $90.27 $109.17 $128.07 $146.97 $165.87
Total cost with 25% off:
$53.53 $67.70 $81.88 $96.05 $110.23 $124.40
Thank You GST# 882072374
A receipt will be sent to you by email. All items are F.O.B. Toronto, Canada