The HelpVistaXPDiamond Registration Order Form [ Manual ]
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Buy License Key -
Please PRINT this Order Form clearly. (File > Print, RightClick > Print or Ctrl + P)
After that please fill below Order Form correctly and send under registration post to bellow postal address.
(Posted without a payment will have discarded.)
_____________________________________________________________________________________________________________________________________
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(Please mark  " X " in the brackets (____) to indicate your choice.)

(1.) Select your payment method 

	I. Western Union (____)
	
	Western Union is a global leader in electronic money transfer and message services, with a history
	of pioneering service dating back more than 150 years.

	You can go to any western Union location across the world and deposit the money. You get a Money
    	Transfer Control Number (MTCN). Now you can fill following order form with correct MTCN and please post.
	Please note :
	you will receive the License Key (LK) and User ID (UID) to your email account within 24 hours by e-mail after the transaction is completed.

	Here is our (Receiver) information that you need for processing your order through western union.

		First names	: Ranith Upul
		Last names	: Disanayaka Mudiyanselage
		Address		: D.M.R.Upul, No-G-3/4, Danduma housing scheme, Danduma, Embilipitiya, Sri lanka.
		Postal Code	: +94
		City		: Embilipitiya
		Country		: Sri Lanka


	Money Transfer Control Number(MTCN)  :.......................................
	_____________________________________________________________________________________________________________________________
	II. Cheque (____)

	The Cheque should be drawn in favour of "D.M.R.Upul" and crossed (A/C Payee only).
	Please indicate your name on the reverse of the cheque and send under registration post to bellow address with this.  

	Now you can fill following order form and please post following Postal Address with the cheque.  
	Please note:
	you will receive the License Key (LK) and User ID (UID) to your email account within 24 hours by e-mail after the transaction is completed.

	Here is our (Receiver) information that you need for processing your order through the cheque.

		Account Holder	: D.M.R.Upul
		Account Number	: 8300021078
		Bank Name	: Commercial Bank of Ceylon Ltd.
		Address		: D.M.R.Upul, No-G-3/4, Danduma housing scheme, Danduma, Embilipitiya, Sri lanka.
		Postal Code	: +94
		City		: Embilipitiya
		Country		: Sri Lanka
	
	Your Bank Name :............................................................

	Cheque Number  :............................................................
	_____________________________________________________________________________________________________________________________
	III. Bank/Wire Transfer or Bank Draft.(____)
	
	You can pay from any of your bank to our A/C through Bank/Wire Transfer or Bank Draft.
	Important :
	Your copy of the paying -in-slip is not sent we will NOT be able to process your order nor will we be able to let you 
	know that the money has been received. 

	Now you can fill following order form and please post following Postal Address with copy of the paying -in-slip.
 
	Please note :
	you will receive the License Key (LK) and User ID (UID) to your email account within 24 hours by e-mail after the transaction is completed.
	
	Here is our (Receiver) information that you need for processing your order through the Bank/Wire Transfer or Bank Draft.
	
	Make your payment to : 
		Postal Address	: D.M.R.Upul, No-G-3/4, Danduma housing scheme, Danduma, Embilipitiya, Sri lanka.
		Postal Code	: +94
		City		: Embilipitiya
		Country		: Sri Lanka
	Bank Information :
		Bank Name	: Commercial Bank of Ceylon Ltd.
		Branch		: Embilipitya
		Bank Address	: Commercial Bank, Embiliptiya, Sri Lanka.
		SWIFT Code	: CCEYLKLX
		Account Holder	: D.M.R.Upul
		Account Number	: 8300021078
		
	Your Bank Name  :............................................................
	_____________________________________________________________________________________________________________________________
	IV. Money Order(____)
	
	This payment method is valid only in Sri Lanka. The Money Order should be made payable at the Danduma Post Office.

	After the payment you can fill following order form with Money Order Number (MON) and please post following Postal Address.
	Please note...
	you will receive the License Key (LK) and User ID (UID) to your email account within 24 hours by e-mail after the transaction is completed.

	Here is our (Receiver) information that you need for processing your order through the Money Order.

	Make your payment to: 
		Name		: D.M.R.Upul
		Postal Address	: D.M.R.Upul, No-G-3/4, Danduma housing scheme, Danduma, Embilipitiya, Sri lanka.
		City		: Embilipitiya
		Post Office	: Danduma
	
	Your Post Office Name  :........................................................

	Money Order Number  :...........................................................
	_____________________________________________________________________________________________________________________________

(2.) Quantity : 1.(____) 2.(____) 3.(____) 4.(____) 5.(____) More than five.(____) 

[Quantity Type: 1 Quantity = 1 License Key = 1 Machine]
	
(3.) Please make sure to include your valid Product ID (See..Start>Programs>HelpVistaXPDiamond>Registration)
     
 	Product ID1 :................................ 		Product ID6 :................................

     	Product ID2 :................................ 		Product ID7 :................................

	Product ID3 :................................ 		Product ID8 :................................
	
 	Product ID4 :................................ 		Product ID9 :................................

   	Product ID5 :................................ 		Product ID10 :...............................			

(4.) Your currency Name :...........................

(5.) Total price :................................

Eg: (Product price = $69) x (Quantity = 2) = [Total price = $138]
Please visit our package invoice table of License Key page.

(The outgoing fees that your bank charges [or any other intermediate bank if applicable] are NOT included in our product price.
We are unable to process or refund partially paid orders)  

(6.) Youe Country Name  :...................................................

(7.) First Name(s)  :.......................................................

(8.) Last Name(s)  :........................................................

(9.) Company Name (If applicable)  :........................................

(10.) Address  :.............................................................

(11.) Email Address  :......................................................
(Please make sure to include your valid Email address here. Eg: info@helpsofts.com) 

(12.) City  :...............................................................

(13.) State (If applicable) :..............................................................

(14.) Zip Code/Postal Code (Optional) :...............................................

(15.) Phone (Optional) :..............................................................

(16.) Fax (Optional)  :................................................................

(17.) Additional Description (Optional)  :...........................................................

I declare that the above information is true and correct.(Please check your detail correctly before post.)


Customer signature :.....................			Date :.....................



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