Purchase Order Form
Instructions:
To mail or fax in your order print out the form below, then fill out the form.
Include your check, or credit card information and mail or fax to Royalty
Management Services. You may call in your order at any time and your payment
information will be taken over the phone. A Registration Number will be
assigned to you after purchase.
| Royalty Management
Services, Inc. P.O. Box 53385 Lafayette, LA 70505 |
| Item Description | Price | Quantity | Total Price |
|---|---|---|---|
|
Royalty Management Program |
$995 |
||
|
FREE 30 Day Trial version of Royalty Management Program with Overview and Tutorial |
FREE |
||
|
Sub-total: |
|||
|
Sales Tax (LA only)*: |
|||
|
TOTAL: |
|||
*Sales Tax: Louisiana Residents add 4% state sales tax
|
Ship To:
____________________________________________________________ |
|
Contact:
__________________________ Phone #:
________________________ |
|
Payment Type: (
) Check ( )
Discover ( ) Master
Card ( )
Visa ( ) American Express
Signature: __________________________________________________________ |
| SALES: 1-800-696-0588 | TECHNICAL SUPPORT: (337) 235-0856 | FAX: (337) 235-7062 | E-MAIL: rmp@oilbusiness.com |