Competitive Upgrade Request Form

Please fill out this form and click the "Submit" button. During regular business days we will respond to this email within 24-hours and if you qualify you will receive a rebate coupon that you can immediately use to purchase your products on the OnlineSafetyShield website.

   
Your information
First name :
Last name :
Company :
Email :
Confirm email :
Telephone and extension :


Competing product information
Product name :
Product company :
Date purchased :
# of licenses purchased :
Purchase price (in US dollars):
   
I have faxed the invoice or receipt for this purchase to OnlineSafetyPAL Inc. at +1.562.945.3739.

Primary reason for upgrading to OnlineSafetyShield software:

   
OnlineSafetyShield Software Edition you plan to purchase
OnlineSafetyShield Edition :
Quantity :
   

Please note: All OnlineSafetyShield editions are licensed to run on two computers. Each single license purchase entitles the user to install the software on two PCs independently.
   
Contact orders@OnlineSafetyShield.com or call toll-free 1.866.BE.SAFE.8 (1.866.237.2338) in the USA or +1.562.945.3738 from elsewhere, if you have any questions.
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1.866.BE.SAFE.8
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1.562.945.3738
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