Please submit this form only if you are about to purchase by mail with cash, check, or money order.   If you wish to pay by credit card, you will have an opportunity to enter your information into a different on-line form during the purchase.  Please return to our purchase page for credit card purchases.  For tech support, please e-mail us. We'll respond promptly. If your browser does not support forms, please use our alternate text form *Asterisk Fields are required ... *Name:   Address:   City:  State:   Zip: *E-mail: Country: *Please tell us how you heard about us. What features did you find useful and why? What comments do you have about Rescue 911? Would you like to link to us at your website? If so what URL? *Which products would you like to order? SpeedTec -- $14.95 Rescue 911 -- $12.50 Special! SpeedTec and Rescue 911 -- Only $24.95! (save $2.50) *Method of payment: Cash Check Money Order   credit card orders click here *Date payment mailed:    May we add your comments to our feedback page?    Yes   No Note:   You should be returned to our Purchase page after you hit "submit"... if not please click the link above to return manually. Rest assured your registration has been received

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