| Contact Name: |
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| Company Name: |
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| Address: |
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| Suite: |
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| City: |
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| State: |
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| Zip Code: |
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| Phone Number: |
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| Fax Number: |
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| E-mail Address: |
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| Total staff at your location: |
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| How did you hear about BalaBoss? |
If other please specify:
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| Which Time & Billing software do you use? |
If other please specify:
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| Which Tax software do you use? |
If other please specify:
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| Workstation Operating System |
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| Network |
if other please specify
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BalaBoss Client Navigator
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Qty |
Description |
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$599 |
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$899 |
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$1,599 |
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$3,899 |
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Additional User Licenses
(to any of the above)
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$219 |
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Data Conversion Deposit |
Optional deposit of $500 to reserve data conversion service @ 25 cents/client subject to minimum of $500
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Payment must precede delivery
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| Card Expiry MMYY |
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Signature |
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Date |
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User licenses include free updates and technical support for one year from date of purchase. System requirements: Personal computer with a 486 or higher processor (Pentium processor recommended) ; Microsoft Windows 95 or Windows 98 operating systems (will not run on earlier versions of Windows) ; 32 MB of RAM (64MB recommended) ; 50 MB of available hard disk space ; VGA or higher resolution video adapter ; On installation: Access to a local or network CD drive
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INSTRUCTIONS
Complete the form above then
Print and Fax to (855) 224-1195
OR
Email to sales@BalaBoss.com
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