Order Form      smbINFO VoIP Information Service

1 year access  $149.00

Please make check payables to: smbINFO Inc.  US Bank checks only.  In California the total including state tax is $161.29

Print this page and mail it with your check to:

smbINFO Inc. P.O. Box 1095  Burlingame CA 94011-1095 USA

or provide Credit Card details below and fax it to +1 650 348 0904

Name:

Company Name:

Company Address:

E-mail:

Telephone:

Preferred User Name*:
(At least 6 numbers or letters, no spaces)

Preferred Password*:
(At least 6 numbers or letters, no spaces)

Credit Card Details.  Visa/MasterCard/American Express/Discover

Name on Card:

Cardholders Address:

Card Number:

Expiration Date:

You will be contacted as soon as your order is processed to notify you that your account is active.