Payment Authorization

Cardholder Name & Billing Address:

_______________________________________________

_______________________________________________

_______________________________________________

Phone #: __________________________

E-Mail: ________________________________

Attendee (if not cardholder): ___________________________________

Mailing Address: __________________________________________

_______________________________________________

Phone #: ___________________________

Course#: ___________________________

# of Attendees: __________ x $ _________ Total $ _________

Name(s) of Additional Attendees:

____________________________________________________________

(Circle) AMEX VISA MC

Credit Card #: _________________________ Exp. Date: ___/___

Last three numbers on back of card (VISA/MC): __ __ __ or four numbers (AMEX): __ __ __ __

I, _____________________, authorize Zope Corporation to charge the above credit card for training course attendance. I confirm that the above information is true and accurate.

Signature: ________________________________________ Date: ________________

Mail to:
Zope Corporation
10300 Spotsylvania Ave. Suite 101
Fredericksburg, VA 22408
Or
Fax to: (703) 995-0412

We are very pleased with Zope Corporation's implementation of its content management system for Supportfolio. These tools provide quick and efficient access for various organizations within the company to manage and publish their own content, resulting in optimum delivery of support materials for our customers. Zope Corporation has delivered value beyond our expectations. They have demonstrated both creativity and professionalism, and their ongoing support has been exceptional.
- Satish Mirle, Engineering Manager for Electronic Services, SGI Technology Solutions