Hot Potatoes Licence Application Form

Hot Potatoes Licence Purchase

Pay by mail or fax

Use the simple form below to generate an application form for printing. Please select the correct options, then press the button at the bottom. A Web-page application form will pop up. Please print the form, and fax it or mail it (with your cheque if appropriate).

Make cheques payable To:	Half-Baked Software Inc.
Fax To:	(Canada: country code 1) 250-721-6497
OR Mail To:	Half-Baked Software Inc., P.O. Box 3075, STN CSC, Victoria, BC, V8W 3W2, Canada

The fax number and address will also appear at the bottom of the form. NOTE THAT NO PERSONAL OR FINANCIAL INFORMATION WILL BE SENT ACROSS THE INTERNET AT ANY TIME DURING THIS PROCESS.

For Canadian customers: Half-Baked Software Inc. will cover GST, and PST for British Columbians. You will pay the same price as foreign customers.

Licence:
Total cost:
Method of payment:	Bank Transfer (Add $40.00 US)
Currency: (if paying by credit card)
Your name:
Organization: (if appropriate)
Street Address 1:
Street Address 2:
Town/City:
Province/State:
Postal/Zip Code:
Country:
E-Mail:
Phone:
Fax:
Name on Credit Card:
Credit Card Number:	- - - Note that you do NOT have to enter your credit card number now if you don't want to. You can wait until the end of the process, and write it into the printed form by hand.
Expiry Date : (Month / Year)	/