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Data Entry Applications using Native PHP 4 code for MySQL Data Entry Form PHP PEAR:DB

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Buy WizzyWeb;
Your name:
Address 1:
Address 2:
City:
State/Province:
Zip code:
Choose a Password:
Confirm Password:
Name as it appears on card:
Subscription option:	$39 per month on our server $399 for one year on our server
Support (optional):	No support Per Incident ($9.99) - charged at time of call 5-Pack Incident ($39) 10-Pack Incident ($69) Unlimited support for one year ($999) Email-only Per Incident ($5) - charged at time of call Email-only 5-Pack Incident ($20) Email-only 10-Pack Incident ($35) Unlimited Email-only support for one year ($499)
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Card code: (last group of numbers on back of card)
Email address:
Yes, send me updates by email: (you can unsubscribe at anytime)