Jouse2 TRADE UP: U.S. ORDER FORM

This order form is for US customers only. For further information on Compusult's trade-up program refer to the trade-up program FAQ posting on our web site. Fax completed order form to 1-709-745-7927

SHIPPING INFORMATION (Please complete the following in full)

Date:
First Name:
Last Name:
Company:	Tax # (9 digits):
Title:
Address:(No PO BOX Please)	City:
State:	Zip Code:
Phone:	USA
Fax:	E-mail:

Serial Number of Returning Jouse:

PAYMENT METHODS

Check One:  Visa  Mastercard  American Express	Amount:	$995.00
Card Number:	Add Shipping & Handling:* Ground $90 Priority Air: $145
Expiry Date:
Name on card:
Signature:	TOTAL:

* The shipping and handling charges include delivery of the Jouse2 to you and for return of the original Jouse to Compusult Limited. Please note that shipments to Alaska and Hawaii may incur additional shipping charges so please contact us prior to ordering to determine the additional shipping amount.

Please read the following:
1. Prices are quoted in $US and are subject to change without notice.
2. Please allow 1-2 weeks for delivery.
3. Please consult product information at www.jouse.com for hardware requirements, compatibility and system specifications.

The Jouse2 Trade-Up Program [as outlined above] is subject to change or cancellation, by Compusult Limited, at any time without notice. Trade-up products and their prices are also subject to change by Compusult Limited without notice. Compusult Limited reserves the right to refuse any requests for the Trade-Up Program. Fraudulent submissions are subject to prosecution.