Order Form

Fill in the information below and send, with payment, to:

Hurstridge Technologies
80 Cave Mill Ct
Leitchfield, KY 42754

Customer Information

 

 

Name

 

 

 

Company

 

 

 

Address

 

 

 

Email

 

 

 

Phone

 

 

 

Shipping

 

Address

 

 

 

Radix Unlimited User License

 

 

 

I would like to purchase a Radix Unlimited User License for the above Organization.

Subtotal

 $ 999

Tax: (6% in KY)

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Total

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