Perl Script Installation Order Form

Perl Script Installation Order Form

To have your script installed please fill in all fields below. If any information is missing it will only delay the installation. Most Installation Orders are fulfilled within a few hours. If we cannot Install the scripts on your Server, your card will NOT be charged.

All fields are required

First name

Last name

E-mail address

Script Name

Server Information

IP or FTP Address

FTP Username

FTP Password

Web Site Address

Name on Card

Credit Card Type

Credit Card Number

Expiration Date

3 or 4 digit CCV

Bill my card in the amount of $

I authorize Interactive Scripts (perlscriptsjavascripts.com) to bill my card in the amount shown.

Comments / Instructions

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