Q-Barcode: Retail Order Form

Instructions:
If you would prefer to use our secure server, please click here. To place your order, fill out the form below. Once completed, click SUBMIT FORM. Your order will be processed immediately upon receipt. If you are requesting a free web download - your registration and download instructions will be sent to the email address specified on credit card approval. You may also request USPS Priority Mail, or Air Mail delivery. If you prefer, you can also print this form, then mail or fax your order to QW Enterprises. Only fields with * are required to process this order. 
Please Select a Product:
Software Products Price QTY Shipping
Q-Barcode Barcode Creator 1.0
For Windows 95 98 NT 2000 ME XP		 $35.00
       
Hardware Products Price QTY Status
CCD-83 Barcode Scanner
Hand Held CCD Barcode Scanner		 $109.95 On Backorder
TS-4500 Long Range Barcode Scanner w/FREE Auto-Stand
Hand Held Long Range CCD Barcode Scanner		 $149.95 In Stock
PEN-400 Barcode Scanner
Hand Held Wand Barcode Scanner		 $119.95 On Backorder
USB-004 USB Cable
PS/2 to USB "Y" Adapter Cable - 2 devices 1 Port		 $24.95 On Backorder
Hardware Shipping Method:
*FedEx 2 day and USPS Priority Mail are only available in the USA. For hardware orders outside the USA your shipping total will be calculated and emailed to you. You may also request shipping information and quotes if outside the USA. Hardware orders outside the USA are shipped Global Priority Mail where available. For bulk quantities over 10 items, or multi-user license on Q-Barcode, please email admin@qwe.net for price and shipping costs. All prices are in US Dollars.
Please Enter Your Billing Information Below:
Fields with *asterisks are required.
Name:* (as it appears on your credit card)
Company Name
Billing Address:*
Line 2:
City:*
State/Province:*
International Province:
Zip/Postal Code:*
Country:
Card Type:* Visa MasterCard Amex Discover
Credit Card #:*
Exp.Date:*  
Email Address:*
Day Phone #:*
FAX #:

Please Enter Your Shipping Information Below:
CHECK HERE if Address is Same as Billing Address
Name:
Company Name:
Address:
Line 2:
City:
State/Province:
International Province:
Zip/Postal Code:*
Country:
 
CREDIT CARD ORDERS will be billed from: QW Enterprises. Orders within the USA will be shipped USPS Priority Mail unless otherwise selected. Web download orders will be sent download and registration instructions to specified email address. Hardware purchases outside the USA will be sent Global Priority Mail where available.

QW Enterprises, PO Box 235499, Honolulu, Hawaii 96823
Phone: +1 808.845.5519 | Fax: +1 808.845.5449 | Email: admin@qwe.net

© Copyright 1998-2004 QW Enterprises. All rights reserved.