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	ATOMS, BONDING AND STRUCTURE v1.0 ORDER FORM - Australia/NZ ONLY
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     	Order from our local distributor, Shareware-Australia:
	By mail: Shareware-Australia, PO Box 1075, Maroubra NSW 2035
	By Phone: (02) 9565-2339 	By Fax: (02) 9565-2362
	By email to: sales@shareware-australia.com
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	Prices are in Australian dollars. Please tick one box. 
     	For use on a SINGLE computer 			AU$45 - 00  [ ]
     	Site licence for up to 6 machines	        AU$100 - 00 [ ]
	Site licence for more than 6 machines	        AU$150 - 00 [ ]

	Joint licence with Atoms, Symbols and Equations:
	For use on a SINGLE computer 			AU$70 - 00  [ ]
     	Site licence for up to 6 machines	        AU$160 - 00 [ ]
	Site licence for more than 6 machines	        AU$230 - 00 [ ]
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	Payment can be made by Cheque, Money Order, Bankcard, Mastercard, 
	Visacard, or American Express.

	Name: ___________________________________

	Delivery Address ________________________________

			 ________________________________	
		
			 ________________________________

	Phone		 ________________________________
	
	Email(if available)  ______________________________

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	Do you wish to receive registration by:  Email [  ]    Post [  ]
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	I am paying by Cheque/Money Order [ ]  Credit Card [ ]

	Credit Card No. ___________________________________________

	Expiry Date: __________  Signature: _______________________
	
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    	I understand that Atoms, Bonding and Structure is provided AS IS
	and without warranty of any kind, either express or implied. 
	I confirm that it will be used according to the licence.