aim4.jpg (3746 bytes)
Office Use Only
ORDER # _______________
HOW TO ORDER:
Print form and mail, fax, or call your order to us at:
AIM Corporation
4005 Wisconsin Avenue, N.W.
P.O. Box 5815
Washington, D.C. 20016 		FAX 24 HOURS
1-301-251-2309 		Message Center
1-301-251-2308

Do you required FrontPage2000 Support?

Yes_____ No______

ORDERED BY: SHIP TO:
Name:__________________________________
Street:__________________________________
City:_______________State:_____Zip:_______
Daytime Phone:__________________________________
Fax:__________________________________
Email:________________________________  		Name:__________________________________
Street:__________________________________
City:_______________State:_____Zip:_______
Daytime Phone:__________________________________
Fax:__________________________________
Email:________________________________
QUANTITY DESCRIPTION/PRICE/DOMAIN NAME
   
   
   
METHOD OF PAYMENT
CREDIT CARD TYPE:

_____Master Card  _____Visa  _____American Express _____ Check

Card Number:

______________________________________

Name as it appears on card:
_________________________________________________

Expires:_____/______

Signature:
_______________________________________

* Maryland residents must pay tax on all items purchased, excluding services (server based
software is considered taxable). For those orders that tax was not added, AIM will add 5.0 %
sales tax for Maryland residents.
** For all orders that require International shipping, an AIM representative will call and provide
proper shipping cost to the specified destination.
***Please read our Terms, Conditions and Policies (http://www.aimcorporation.com/terms.htm) for a complete description of our services before faxing or mailing this order form. By faxing or mailing this order form you agree that you have reviewed and accepted our Terms, Conditions and Policies of service.