Munchopia Web Site Order Form
Print out this form, complete it and fax it to:
02 9452 3363 from within Australia or +61 2 9452 3363 from outside
Australia.
To: Step Ahead Software
Fax: (Australia) 02 9452 3363
Re: purchase of one munchopia web site
Restaurant/Bistro/Bar Details
Restaurant/Bistro/Pub Name:
Phone number:
Fax number:
Shop/Unit/Street #
Street name:
Suburb:
Post Code/Zip:
State:
Operator Details
Last Name:
First Name:
Phone number:
Mobile number (optional):
Email address (if you have one):
Payment Options: Cheque or Credit Card
Payment by Cheque:
Make cheque1
payable to Step Ahead Software. Send cheque and this completed form to:
Munchopia processing,
Step Ahead Software,
PO Box 360 Hornsby NSW 1630
AUSTRALIA
Payment by Credit Card:
Type of card: □Master Card
□Visa □American Express
Name on card: _____________________________________
Card Number: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Expiry date: _ _/20_ _ (for credit card payments a printable tax invoice will be
emailed)
Subscription Schedule
I authorize Step Ahead Software to charge the above credit card via their online merchant facility or invoice me (if paying by cheque) according to the following schedule2:
□$9.95 each month OR
□$24.95 every three months OR □$99.80
every year
until further notice
Signature: ___________________________________ Date: ______________
[1]
Payments by cheque must be for quarterly or yearly
subscriptions only.
[2] All prices are in Australian
Dollars. You can cancel your subscription at any time and no further charges
will be made to your credit card or if paying by cheque no further invoices will
be posted. If you cancel your subscription or for some reason a payment could
not be processed after a few attempts then your website will be removed from the
munchopia web service and not be visible to internet users.