Thank you for your request to purchase our products or services.  Please complete the form below and click "Submit" when complete.  Upon submittal of this request, you will be contacted by our organization to confirm the request and to obtain payment information.  This information is for our internal use only.  For follow up regarding new customers of our application(s). This information will never be sold to mailing lists, nor used beyond the scope of reasonable follow up for sales of the product being purchased and for the continuing business relationship.


Fields marked with "*" must be filled.

Contact Information

Contact Name: * (e.g. Matthew Howe)
Title: (e.g. Technology Manager)
Email Address: * (e.g. mhowe@ultraaccountants.com)
Phone Number: * (e.g. 999-999-9999 x 999)
Referred By: (e.g. Google)

Company Information

Company Name: * (e.g. Ultra Accountants, LLC.)
Address: (e.g. 9999 Commerce St Suite 202)
City: (e.g. Los Angeles)
State: (e.g. California)
Zip: (e.g. 99999 or 99999-9999)
Country: (e.g. United States)
Number of Employees: (e.g. 99)
Years In Business: (e.g. 10)
Industry: (e.g. Education)

Product Information

Product: (e.g. MyBooks Professional)
Platform: (e.g. Mac OS X)

Credit Card Policy and Handling

Credit cards are charged at the time of shipment of the products and/or arrangments for services, not at the time of the purchase request.

When submitted, credit card information is processed through our internal application and is transmitted via secured internet connection to our credit card processor. On its way through our application, we securely store the credit card information in order to process your payment.

We do this in case a customer later decides to upgrade their shipping method and needs to have their card charged for the additional amount. It is also done in case a customer wants to place another order in the future through email, they only have to give their billing and shipping information and the last 4 digits of their card along with the expiration date to place their order. With email orders done like this, we will only process the order if the billing address and shipping address are matching and that the billing address matches our previous records on the customer and if the last 4 digits of the card and expiration date matches our records. All amounts are pre-approved by the customer.


Thank you for your business.