SciTech MGL 4.0 Order Form SciTech Software, Inc. ___/___/___ 505 Wall Street MM /DD /YY Chico, CA 95928 USA Toll free/Phone/Fax: 800-486-4823 / 530-894-8400 / 530-894-9069 PLEASE PRINT OR TYPE CLEARLY! Name: ______________________________________________________________ Company: ___________________________________________________________ Address: ___________________________________________________________ __________________________City ____________ State _________ Zip/Postal Code___________________ Country ________________ Phone: _______________________________ Fax: _______________________ Email: _____________________________________________________________ Register product(s) to: [ ] Company [ ] Individual Pay By: [ ] Check* (US funds only) [ ] Money Order [ ] Credit Card *$10.00 charge for all returned checks Credit Card Orders: MasterCard / Visa / Amex / Discover (Circle one) Card Number ___________________________________ Expires ___/___ Exact name on card (print) ____________________________________ Item (see README.WRI for more information) Unit Cost Qty Price ------------------------------------------ --------- --- ------- SciTech MGL CD-ROM, Printed Manuals, Boxed US$59.95 ___ $ _______ SciTech MGL Priority Support (per year) US$2499.95 ___ $ _______ Subtotal: $ _______ California residents add 7.25% sales tax: $ _______ Shipping & Handling Charges (SEE NEXT PAGE) $ _______ **Within the US, we will ship by 2nd Day unless otherwise specified. ***International shipments will be Airmail unless otherwise specified. ****Contact us for Student Discount Information. Total Enclosed: $ _______ I have read and agree to abide by the enclosed license agreement and I agree to be bound by my credit card agreement. (Signature required) ________________________________________________ Shipping and Handling Charges Within USA SciTech MGL will ship by 2nd Day unless otherwise specified. Shipped via US Mail 2nd Day Next Afternoon SciTech MGL 4.0 CD and Manuals $12.00 $12.00 $20.00 If you have a P.O. Box, you must have SciTech MGL sent via US Mail. International SciTech MGL will ship by Airmail unless otherwise specified. Air Mail 3-5 Day Express Depending on Customs, etc. SciTech MGL 4.0 CD and Manuals $42.00 $70.00 Next Day: Call SciTech for pricing information. Shipping charges are subject to change without notice