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Authorized Peachtree Resource Center Offering Software Support & Training
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2000 N. Central Expwy., Suite #108, Plano, TX 75074 Phone: 972-423-8000 800-842-2880 Fax: 972-423-8869
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Credit Card Authorization
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Please print this form, complete, and fax to our office.
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Company Name:
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___________________________________
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Contact Person:
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___________________________________
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Phone Number:
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___________________________________
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Fax Number:
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___________________________________
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Address:
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___________________________________
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___________________________________
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Email Address:
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___________________________________
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Type of Credit Card:
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AMX ____ VISA____ MC____
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Credit Card #:
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___________________________________
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Expiration Date:
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___________________________________
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I authorize Computer Help, Inc., to bill my credit card for support charges as explained to me on this date.
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Signature:
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___________________________________
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Date:
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___________________________________
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Product Version:
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___________________________________
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I prefer to submit my support issues by:
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Telephone: ______
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Fax form and someone will call you.)
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Fax:______
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(Fax form with support issues and a Technician will give you a call.)
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Email: ______
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(Fax form and technician will return email.)*
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*some issues may require us to contact you via telephone
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Please FAX to:
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Computer Help, Inc.
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2000 N. Central Expwy., Suite 108
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Plano, TX 75074
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FAX#: (972) 423-8869
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Copyright 2000 Computer Help, Inc. All Rights Reserved
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