To purchase a registration key for Practice Manager, please print and and post or fax the following form, along with a cheque, money order or your credit card details to:

Comsense
52B Adderley Street,
Mt. Claremont, Western Australia 6010
Fax: +61 8 9384-2227

Please contact us for information on purchasing our other products.

Practice Manager Registration Form

Product System Size Single license
Practice Manager 8.0 Full Version Win XP/Vista 57 MB

Fields marked with an asterix * are required fields.

Number of licenses: *
Code Entry Number: *
Computer ID: *

Billing Information
Name: *
Title:
Company:
Address:
Telephone:
FAX:
E-mail: *

Credit Card Details
Card Type: Visa Bankcard Mastercard
Cardholder
Cardnumber
Exp.
 
Date
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