==================================================================== ABIX MAIL ORDER FORM ==================================================================== - Methods of payment accepted for mail orders: - International money order - Check (drawn on a canadian or american bank only) - Cash (canadian($CAD)/american($USD) dollars or Euros) - To order, print this form, fill it out and mail it with your payment payable to: Jacques Gladu 107 des Merisiers Ste-Sophie, Quebec Canada J5J 2X6 -------------------------------------------------------------------- SELECT THE DESIRED LICENSE $CAD $USD -------------------------------------------------------------------- [ ] Individual License ( 1 user ) 40.00 40.00 [ ] Individual License + CD-ROM ( 1 user ) 50.00 50.00 [ ] Network License (10 users) 200.00 200.00 >>>> LICENSES RESERVED TO REGISTERED USERS ONLY! -------------------------------------------------------------------- [ ] UPDATE - Individual License 20.00 20.00 [ ] UPDATE - Individual License + CD-ROM 30.00 30.00 [ ] UPDATE - Network License 100.00 100.00 -------------------------------------------------------------------- Name: ___________________________________________________ Company: ___________________________________________________ Address: ___________________________________________________ City: ___________________________________________________ Province/State: ___________________________________________________ Country: ___________________________________________________ Zip/Postal code: ___________________________________________________ Phone number: ___________________________________________________ Email address: ___________________________________________________ IMPORTANT! Please print clearly and be sure your email address is valid because we will send you your license by email once we receive your payment.