RACER Software Order Form

RACER Software Order Form

<p>RACER® – Software Order Form</p><p>SHIP TO Name Title Organization Address City, State Zip Phone Number Fax Number Email Address</p><p>ORDER DETAILS QTY PRODUCT PRICE (PER PRODUCT) SUBTOTAL</p><p>Preferred Delivery Method: Download CD (Shipping Fee Applies) Shipping (if CD Selected, Fee is per Location): US Mail ($10.00) Fed Ex Overnight ($30.00) Total Shipping Charges (No Shipping Fee if Software Downloaded): Sales Tax* (if your organization is sales tax exempt, please include documentation with your order): Order Total*:</p><p>METHOD OF PAYMENT</p><p>Method of Payment: Visa MasterCard</p><p>Please complete page 2 of this form and return with your order. </p><p>Purchase Order</p><p>Please include purchase order document with your order submittal.</p><p>* Please Note: Sales tax subject to verification based on shipping location(s) and state taxation laws. </p><p>ALL SALES ARE FINAL.</p><p>Return completed form to AECOM: Email: [email protected] Mail: AECOM – RACER 6200 S. Quebec Street Greenwood Village, CO 80111 Banking & GL Group Credit Card Processing Form</p><p>Please verify form is filled out completely and legible and return to AECOM with your order for processing. Thank you.</p><p>1) Amount of Payment:</p><p>2) Credit Card Type:</p><p>3) Credit Card Number:</p><p>4) Expiration Date:</p><p>5) Individual's Name on Credit Card:</p><p>6) Company’s Name:</p><p>7) Phone Number:</p><p>8) Street Address</p><p>9) City, State Zip:</p><p>10) Cardholder Signature:</p><p>AECOM Use Only:</p><p>Invoice Number Being Paid:</p><p>AECOM Project Manager Name:</p><p>Project Number: </p><p>Task Number and/or Subtask:</p><p>AECOM Requestor:</p>

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