KONKEPTOINE ON-LINE ORDER FORM
		Please, fill the form and press the "Submit" button. Fields marked with "*" are optional Write additional EI Dongle Numbers in the Other Information field Once the Submit button is pressed, please wait, you will be redirected to the SECURE page for the final submission of the order . Once aproved, the order will be sent to you at the specified email address Orders are sent in the following 12 hours once the transaction is accepted. However it can take up to 24-48 hours (due to time zones or weekends). .
			CONTACT INFORMATION First Name: Last Name: *Company: *Company ID: Street * City: State/Province Postal/Zip: Country: Phone: *Fax E-mail: EI Dongle Number(from splash screen)
			*OTHER INFORMATION.Place your comments or additional EI Dongles here
			*Do you want to know about upgrades or other konkeptoine information? Yes