Radiation - Purchase Registration for RadBot

Order RadBot

Thank you for ordering Radiation RadBot.

Once you have filled out the following registration form, you should receive contact back (via email) confirming your order within 3 business days. At that time, you'll be issued a customer ID for use with the online technical support system. If you have any questions about your registration purchase, please contact us at orders@radiation.com.

Product Information
Product:	Radiation RadBot
Retail Price:	US $250.00 please see Reseller Information* if discounts apply*
Notes & Special Instructions:
Registration Information Please provide the following information for the owner of the software. If you are a reseller, this information should be for your client (your information goes in the Reseller Information section.)
Company/Individual:
Email Address: this is the email address the registration key will be sent to
Mailing Address:
City, State, Postal Code:	,
Country:
Phone Number:
FAX Number:
Billing Information For P.O. and check orders, please make checks payable to GMD Studios and sent to 7057 University Blvd., Winter Park, FL 32792. No non-credit card orders will be processed without a P.O. or company check in hand. Please include a hard copy print out of this page (filled out) for quickest service.
Payment Method:
for credit card orders, please fill out the following:
Cardholder Name:
Cardholder Billing Address:
City, State, Postal Code:	,
Country:
Cardholder Phone Number:
Credit Card Number:
Expiration Date (MM/YY):
Reseller Information Note: if this is a purchase by a reseller, the registration information* should be for the client and the billing information should be for the reseller.*
This order is being resold to my client (Reseller ID: )

Note: Credit card fraud is a felony and we will aggressively prosecute anyone attempting to misuse a credit card number. We track every transaction and will use all means available to prosecute persons attempting fraud.