VersaBet Printable Order Form

VersaBet Order Form
For Fax or Mail-in Orders
(Fill in form and click on the Print option in the File menu)

NOTE: Contents of the Download and CD editions are identical. If ordering a download edition, your download user ID and password will be issued by e-mail immediately upon receipt of your download order. Be sure to include your correct e-mail address.

All prices shown are in US currency. International orders (except Canada) add $10.00 for shipping. Overnight shipping is available to destinations within the US only. Please add $18.00 for overnight shipping. Visa, Mastercard, checks, and money orders accepted. Make checks and money orders payable to JPM Computer. Checks and MO's must be in US funds and drawn against a US branch bank.

Ordering Options

Order By Phone
If you prefer to place your order by phone, our order line is 503-287-8952.

Order By Mail
If you would prefer to order by mail, print this order form and mail it along with your check or credit card info to JPM Computer, PO Box 55955, Portland, OR 97238-5955. Make check or MO payable to JPM Computer. Be sure to include your phone number and e-mail address on the order form.

Order Information

Step 1: Select Product and Shipping

VersaBet Three-Four for Windows - Select One
VersaBet Three-Four Download Edition - $99.95
VersaBet Three-Four CD Edition - $109.95
Deduct $15.00 if you are registered with Lottery Manager 4 or Intelli-Pick

VersaBet Lottery Manager v4.0 - Select One
Lottery Manager 4 CD Edition - $99.95
Lottery Manager 4 Download Edition - $89.95
Deduct $15.00 if you are registered with VersaBet Three-Four or Intelli-Pick

VersaBet Intelli-Pick v2.1 - Select One
Intelli-Pick CD Edition - $79.95
Intelli-Pick Download Edition - $69.95
Deduct $15.00 if you are registered with Lottery Manager 4 or VersaBet Three-Four

Shipping Options for CD Editions - Select One
Normal Shipping Within US (Priority) or Canada (Air Mail) - No charge
Overnight Shipping Within US - Add $18.00
International Shipping - Add $10.00 (except Canada)

Step 2: Select Payment Method

Check or Money Order Enclosed (US Dollars only please)
Visa
Mastercard

Name on Card
Card Number (1234-1234-1234-1234)
Expiration Date(MM/YY)

Step 3: Enter Customer Information

Name

Address

City

State/Prov

Zip/Post Code

Country

Phone w/Area Code

E-Mail Address

NOTE: Please enter your COMPLETE Email address (someone@somewhere.com).

Comments

Name
Address

City
State/Prov
Zip/Post Code
Country
Phone w/Area Code
E-Mail Address
	NOTE: Please enter your COMPLETE Email address (someone@somewhere.com).
Comments