Request for Registration

This order form can be used to license and register a single copy of The Office Manager. The license fee per server is $350.00. If you submit this form, a charge for this amount will appear on your next credit card statement. (Sales tax will be added to orders within Washington state.)

To complete the registration process you will need to know the name of the server where The Office Manager is running. Click here for instructions on determining the server name if you don't already know what it is.

Payment can be made with Visa or Mastercard. Please note that we are not currently able to offer a secure server for entering this information. If you are uncomfortable submitting this information on a non-secure site you can submit credit card information via fax or by phone. To do this, select the appropriate option for the Payment Method below and leave the card number blank. Then, submit the form with the rest of the information filled in. Additional instructions for faxing or phoning will appear on the confirmation form.


Contact Information 
  Company Name:  
  Address:  
  Address Line 2  
  City:  
  State/Province:  
  Zip/Postal Code:  
  Contact Person:  
  Email Address:  
  Phone Number:  

Web Site Information
  Server Name:  
  (Click here to find out how to get the Server Name)

Payment Information
  Payment Method:  
  Card Number:  
  Expiration Date:   /
  Charge Amount:   $350.00 (Plus $30.80 tax in WA state)

Email List
Would you like to be kept informed of product updates, enhancements and bug fixes, via the email address listed above?   Yes  No

  
 

Privacy Policy: The information provided here will be used only to process your order. We never sell, rent or otherwise share any customer information with another company. If you agree to be added to our email list, we will only use that email address to keep you informed about The Office Manager.