Medlin Payroll Software Order Form
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To place an order
·    The fastest way to order is using our secure online order form at www.medlin.comPackage discounts are available.
·    If you prefer to order by mail or fax, print, then mail or fax your completed order form.
  
Medlin Software
PO Box 10372
Napa, CA  94581
707-255-9266 (FAX)
medlin@medlin.com
 
 
 
Select One:
 
 
Medlin Payroll - Basic Edition (v2017)
$65
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Medlin Payroll - MICR Edition (v2017)
$79
  ____________
Medlin Payroll - Professional Edition (v2017)
$149
  ____________
 
 
 
Same Day E-Mail Delivery of Registration Key
FREE
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E-Mail Address:        _______________________________________________

Name:                        _______________________________________________

Company:                  _______________________________________________

Address:                    _______________________________________________

City: _______________________    State: _______    Zip: ____________

Payment by:  Check ____  MC ____  Visa ____  Amex ____  Disc ____

Card Num.:______________________________________________________

Expiration Date:  ____________  (MM/YY)           Security Code: ___________

Phone Number:  _________________________  Fax: __________________

Card Holder's Signature:     _________________________________________

Where did you learn about our software?            _________________________
  


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