Off Line Order Form

You can sign off the internet and fill out this form off-line. Enter the information, sign, and fax, email, or print and send the form to:

Go back to: Cognitronix, 13446 Poway Rd. Suite 120, Poway, CA 92064

Voice Orders: 800-217-0932, FAX: 858-549-8955

E-Mail: Orders sales@cognitronix.com, Further Information info@cognitronix.com,

Technical Support support@cognitronix.com, Customer Service service@cognitronix.com

Cognitronix accepts Visa, MasterCard, Discover, AMEX, Credit Cards

All products come with a 60 day money back, satisfaction guarantee!

Name:
Company:
Address:
City:
State:
ZIP:
Country:
Phone:
FAX:
Email Address:
Credit Card Number
Expiration Date

Products

Register Searcher v4.0 for Windows Information ($29)

Order Searcher v4.0 for Windows Information ($34)

Order Searcher Professional v4.0 for Windows 95, 98, NT, & 2000 Information ($69)

Order Dragon Draw for Windows 3.1 Information ($69)

Order Dragon Draw for Windows 95, 98, NT, & 2000 Information ($69)

Order Web Weaver Index Server for Personal Web Servers Information ($99)

Order Web Weaver Index Server for Windows Web Servers Information ($249)

Order Search Library AXC Custom Controls v4.0 for Windows 3.1, Windows 95, 98, NT, & 2000 Information ($249)

Order Search Library AXC Custom Controls Distribution License Information ($995)

Order Dragon Draw Source Class Library Information ($995)

Shipping

Priority Mail Shipping ($5)

Overnight Shipping ($15)

Foreign (non-US) Shipping ($10)

Foreign (non-US) Overnight Shipping ($40)

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Signature Date

All products come with a 60 day money back, satisfaction guarantee!