Gift Order Form - NoteWorthy Composer Version 2 with CD
           
****Gift For (Recipient - will be registered user):

Name:________________________________________________________

Address:_____________________________________________________

_____________________________________________________________

Phone:_____________________ E-Mail ID:_______________________

*****Purchased By (Purchaser - will receive receipt):
Credit Card Orders: this should be the credit card holder's info

Name:________________________________________________________

Address:_____________________________________________________

_____________________________________________________________

Phone:_____________________ E-Mail ID:_______________________

***Ship product to (CIRCLE ONE): Recipient OR Purchaser
   (If neither is circled, will ship to Recipient.) 

The receipt will be mailed to the purchaser.

***A gift tag will be included stating the product is 
A gift from:_______________________________________
Short Message:_____________________________________
	     Music Theme Gift Wrap will be used

The current price¹ is V2 Licence Fee US$49 + CD Fee US$10 = US$59. 

Please select your payment method:

 ( ) I have enclosed a check or money order¹ drawn from a US   
     bank or institution made payable to NoteWorthy Software 

 ( ) Charge the fee¹ to my VISA / MASTERCARD / AMEX / DISCOVER:


 Card #: ______________________________  Expires: _____ / ____
                                                  Month   Year

 Credit Card CVV Code: _______________
   (3-4 digits, Card Validation Value, usually 3 digits 
    printed on back of card, except for 4 digit AMEX CID)

 Cardholder Name:__________________________________________

 Cardholder Signature:_____________________________________

¹ This offer is guaranteed through 27 November 2009. It is 
  subject to change after this date.
  For North Carolina shipments, please add NC sales tax and
  indicate county shipping to. 

Please allow 1 to 4 weeks for delivery in North America, and 
2 to 6 weeks for all other countries/territories.

  NoteWorthy Software, Inc.   sales@NoteworthySoftware.com
  PO Box 995                  http://NoteworthySoftware.com
  Fuquay-Varina, NC 27526
  USA