National Pro Clean Corp.

Order JanBid

ORDER FORM Yes, Please send me Jan Bid software ______________________________________________________ Name                    ______________________________________________________ Company  _________________________________________________ Phone                                     Email

Address 1

Address 2

City                                             State                ZIP

Check payment  __ Visa  __ MasterCard __  Money order  __ Check Charge $175 for email version or add shipping to receive the hardcopy in the mail. Chose your preference of shipping and handling of the hardcopy: $20 Hardcopy parcel post $30 Hardcopy Priority mail (2-3) days $40 Hardcopy overnight or shipped to Canada $55 Hardcopy shipped overseas  Check, Money Order, Visa or MasterCard

Credit Card number:                                    Expiration Date:  V code:

Signature of Card holder:

Please circle total approved amount $ 175 download, $195 parcel post, $205 Priority mail, $215 Canada or overnight, $230 overseas.

FAX Credit Card order to: (719) 646-5997 Or, mail order with check to: National Pro Clean Corp. 3355 N. Academy Blvd. Ste 271 Colorado Springs, CO 80917