VariaGate Order & Comment Form

The VariaGate ORDER FORM & COMMENT AREA

Welcome! If you're here to make a comment or ask a question, just fill in the first few entry fields and then click on the jump button to bypass ordering information.

If, after ordering you do not receive an order receipt acknowledgement from VariaGate/NewTEK within a day, please repeat your order or comments via Email to VariaGate.

(To enter text in boxes, click once inside box to activate cursor and start typing. A TAB will advance you to the next box, or just click inside any box). Scroll Down for more



Please enter your name:


Enter your Email address:




What Browser are you using?
 Netscape Navigator
 NCSA Mosaic
 Quarterdeck's Navigator
 Other
If "other", specify:


What link brought you to our page?     (click all that apply)
 Yahoo
 Starting Point
 Gopher search
 Newsgroup Posting
 Print publication (specified below)
 Other (Details below)






The next few input fields are designed for order taking and to ensure that we 
have all the information essential to properly process your order.  If you 
would like to just leave a comment or ask a question, click here to jump to
Comment field.



The product or service I'm ordering:

If "other", specify: (Use this for Sudden Sales--add shipping or ask)



Notes on Charges
These are the current prices for most of our products.  (Some services 
are based on time or other factors and need to be quoted individually with
your input to determine the correct amount).

Payment for domestic U.S. must include:
Shipping ($3.50 for software packages, $1.50 for Restaurant Index) and
California sales tax of 8 1/4% (if you're a resident of that state).
We will quote you shipping amounts for international sales.

Enter your charges separately (item, shipping, tax (if applicable):



If you're ordering or inquiring about software, it will help us 
to know about your system.  These are the minimum things we expect.  If you 
don't have one or more of them, click on those you don't have.
 IBM compatible
 EGA or VGA color
 5 1/4 inch drive
 3 1/2 inch drive
 DOS
 Windows 3.x
 Windows 95
 Graphics printer

Further hardware notes or questions:


Your preferred method of payment:

If "other", specify:


For credit card orders only:  (Jump to bypass)



Enter your Card number:



Your name exactly as it appears on your card:



The expiration date:





Enter your home street address:



Enter your City, State and Zip:




Enter your area code and phone number(s):



Enter your fax number:






That's it for ordering essentials.  Please use the following box for 
special instruction or details on your order, to make comments, suggestions, 
ask questions or whatever.  If nothing else, we'd appreciate just a brief 
word to let us know you've been here (We don't do "cookies").

Email to VariaGate instead of this form

The VariaGate ORDER FORM & COMMENT AREA

Notes on Charges

These are the current prices for most of our products. (Some services are based on time or other factors and need to be quoted individually with your input to determine the correct amount).

That's it for ordering essentials. Please use the following box for special instruction or details on your order, to make comments, suggestions, ask questions or whatever. If nothing else, we'd appreciate just a brief word to let us know you've been here (We don't do "cookies").