Ph. 520-440-1420 / FAX 620-6841 /2050 S. Cottonwood Ln, Tucson, AZ 85713 /

Printable GLIMPSE ORDER FORM

Contact name: ________________________ Company:________________________
Address:______________________________________________________________
City: ____________ State: _____ Zip: ____________
Phone: _____________________ FAX: ____________________
E-mail address: _____________________________________________________
Existing username for download, if any: ______________________________

This form is for individual users of Glimpse, who use it to locally index files on their workstation. It doesn't allow for use on a web server, and it doesn't include a license for Webglimpse. If you want the server/Webglimpse license, please use the form at https://iwhome.com/webglimpse/ instead. Thanks!

PAYMENT METHOD:

     _________   MasterCard (16 digits) 
     _________   VISA (13-16 digits)
     _________   American Express  
     _________   Purchase Order Number
     _________   Check enclosed

     _________   TOTAL Payment

CREDIT CARD NUMBER:  ________________________________

Name on card: _______________________________________

Exp. Month: ________   Exp. Year: ________