AGIS Software Mail Order Form

Please print this form, fill it in and mail it with your check or International money order to:

AGIS Software
PO Box 441
Franklin TAS
Australia 7113

 
Your Name:
Organisation:
Street:
City:
State:
Zipcode:
Country:

 
Contact Phone Number:
E-mail Address:

Software to Register (please tick)

Title: Standard single user $49.00
Title: Standard 2-3 user $98.00
Title: Standard 4-10 user $196.00
Title: Standard 11-20 user $294.00
Title: Standard 21-40 user $392.00
Title: Standard >40 user $490.00
Title: Education/Charity 11-20 user $196.00
Title: Education/Charity 21-40 user $294.00
Title: Education/Charity >40 user $392.00

Title: AGIS Mapserver for a web site $125.00

Title: AGIS Map of the World CD ROM $42.00 + $5.00 p&h

Total Dollar Amount (All prices are in $US):


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Signature Date

Updated 6 January 2004