Step 3. Fill out and submit the form to advancis
(all information is required).
PERSONAL INFORMATION
Note: advancis customers who do not wish to enter new information can simply provide their customer number. Our staff will complete your order form using the data (including PIN and password) provided during your previous order(s).
Last Name
First name
Title
Company
Address
City
State
ZIP
Country
Select your country
Canada
United States of America
Email
Web site
Phone
Fax
Customer number
SOFTWARE SELECTION
ReadyWeb
Basic site
Please note that volume discounts will be appear on your confirmation email. Sales Taxes of 8.25% will be added to your order if you are located in Texas.
IDENTIFICATION
Please select a PIN and password to access restricted sections of the advancis.com web site. Choose 3 to 8 characters, using only A-Z, a-z, and 0-9. Write it down for your records. Note: current customers do not have to enter a new PIN or password.
PIN
Password
PAYMENT INFORMATION
Credit card
Please select the type of credit card you want to use
Visa
Mastercard
Eurocard
Credit card number
Cardholder's name
Expiration date
Card verification number
Issuing bank