Borran Technologies Inc. Product Order Form. We accept Visa, American Express or Cheque. Software Prices are quoted in Canadian and US Funds, Outside of North America please submit purchase prices in US Funds. Please Print Form (click here then use your browsers print key) Complete the order form and Fax to 604-530-4895 We will telephone to confirm your order.--.Return to Home Page

Sales Desk: 1-800-710-7650

Payment Method:
- CHEQUE
- AMERICAN EXPRESS
- VISA

COMPANY NAME:

YOUR NAME:

CREDIT CARD NUMBER:

EXPIRY DATE:

STREET ADDRESS:

CITY:

PROVINCE/STATE:

POSTAL CODE/ZIP:

COUNTRY:

YOUR EMAIL ADDRESS:

Check Products Ordered:

U.S.A Prices			Canadian Prices
BRE-WIN	$2,450.00		BRE-WIN	$3,650.00
BSS Shift Scheduler	$75.00		BSS Shift Scheduler	$99.00
BMA Loan Analyzer	$15.00		BMA Loan Analyzer	$20.00

Deliver By:

Snail Mail

FedX Collect

Purolator Collect

UPS Collect

Loomis Collect