Greater Northwest Association of REALTORS®

PROFORMS  Software Order Form

 

Company Name __________________________________________ GNIAR Broker Code __________________

                                     Print or type name as it will be printed on your contracts                                                                Required

Address ______________________________________________________________________________________

                         Use office location address, not your post office box.  This address will appear on contracts.

City, State, Zip ________________________________________________________________________________

 

Telephone # _________________________  FAX # ______________________________

 

Office Computer Administrator _______________________________________________  (contact person)

 

Ship To Address _____________________________________________________________________________

                                Enter  if different from above   Street/PO Box                         City                        State                       Zip

Single User ONLY - ID Desired for Software ________________ Password Desired for Software ____________

Agent Name ____________________________ Agent ID#  _______________ Email Address ___________________

Agent Home Phone # ___________________________________ Agent Home FAX # _____________________

 

TYPE OF LICENSE

 

 

REGULAR PRICE

 

QTY

GNIAR Special Pricing and

12 month Renewal

 

 

QTY

 

TOTAL

1 user

$195

 

$44

 

 

 

3 user

$265

 

$115

 

 

 

5 user

$495

 

$150

 

 

 

10 user

$695

 

$225

 

 

 

Unlimited

$995

 

$350

 

 

 

 

Shipping and Handling Software (All Orders)

5.95

TOTAL

 

$

 

If this order is for 3 or more users, please include an Email address for each user.

 

Payment Method:  Make check payable to Omega Software Solutions, Inc.

Check _____________  Number _____________   Amount $ ____________

 

Credit Card Information:  Name: ___________________________

Type: circle one  MC      VISA

 

Card Number: ______  ______  ______  ______          Expiration Date: _____________ 

 

Billing Address for Charge ____________________________________________

Order Placed By _________________  Signature for charge _____________________

 

INSTRUCTIONS FOR ORDERING WITH THIS FORM:

1.  Complete applicable sections.

2.  FAX Credit Card orders to OMEGA SOFTWARE SOLUTIONS, INC.  (727) 934-1995 or

3.  Mail order form with check to:        Omega Software Solutions, PROFORMS Division

                                                            2042 Norfolk Dr.  Holiday, FL  34691

IF YOU HAVE QUESTIONS, PLEASE CALL

OMEGA Software Solutions, Inc.    (727) 934-0600       FAX (727) 934-1995