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  1.  
  2.  
  3.                                                   ORDER FORM
  4.  
  5. To order your copy of Japanese WordMaster directly from Vitronics...
  6.  
  7.     • fill in your personal details below
  8.     • choose the product(s) you wish to order
  9.     • select your preferred payment method
  10.     • send this form with your payment to Vitronics:
  11.  
  12.    Postal address:             GPO Box 215, Adelaide, Australia, 5001
  13.    Telephone/Fax:            International     +618-235-0003
  14.                                       Australia            (08)  235  0003
  15.    Internet E-mail:            mwildoer@economics.adelaide.edu.au
  16.  
  17. Note: For fastest delivery, order with your credit card via fax or email. We will then be able to despatch your order the same day. All orders are sent via airmail - express international courier delivery also available.
  18.  
  19.  
  20.  
  21.  
  22. **********************************************************
  23. Please print your details clearly in capital letters under each item below.
  24.  
  25. Name
  26.  
  27.  
  28. Street address / Post Office Box / Department
  29.  
  30.  
  31. Suburb / Educational Institution Name
  32.  
  33.  
  34. Town / City
  35.  
  36.  
  37. State / Province                           Postal Code
  38.  
  39.  
  40. Country                                     Telephone number (include area code)
  41.  
  42.  
  43.                                                   Fax. number (include area code)
  44.  
  45.  
  46. **********************************************************
  47.  
  48. (All prices in US dollars)                                            Unit Price     Subtotal
  49.  
  50.        Japanese WordMaster v2.0                                            $129.00
  51.      Japanese WordMaster v2.0 (Academic price)*            $  89.00
  52.  
  53.        JWM MultiUser Pack                                                  $ 149.00
  54.        JWM MultiUser Pack (Academic price)*                         $ 109.00
  55.                - 1 machine license
  56.        5 x additional machine licenses                                              $ 320.00
  57.        5 x additional machine licenses (Academic price)*     $ 200.00
  58.      10 x additional machine licenses                                            $ 480.00
  59.      10 x additional machine licenses (Academic price)*     $ 300.00
  60.      20 x additional machine licenses                                            $ 640.00
  61.      20 x additional machine licenses (Academic price)*     $ 400.00
  62.  
  63.     Postage and handling
  64.                 Air mail (7-10 days most destinations)                $    9.00
  65.                 Express International Courier (3-4 days)              $   22.00
  66.                                                                                                                              ---------
  67.                                                                                                          Total:
  68.                                                                                                                              ---------
  69. Please select your preferred payment method below...
  70.  
  71. (  ) credit card  (  ) money order    (  ) bank cheque    (  ) other cheque
  72.                       |                                                        (Australia only)
  73.                --------------------------------------------------
  74. (  ) MasterCard           (  ) Visa                       (  ) Bankcard
  75.  
  76. Name on card:
  77.  
  78.  
  79. Card number:
  80.  
  81.  
  82. Expiry date:          /
  83.  
  84.  
  85. Date:                      /       /
  86.  
  87.  
  88. Signature:      _________________________________
  89.  
  90. * Note: A school purchase order or photocopy of your student card (for individuals) is required when applying for academic pricing. Please print the details shown on your student card next to the photocopy of your card (this is required for clarity).
  91.  
  92. Thank you for your order.
  93.