ORDER FORM - "NETWORK HU-M-AN" VERSION 6 Return
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PAYMENT METHOD (Please Check) |
BY E-MAIL: |
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sales@hma-tech.com |
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| _____ | Purchase Order Number: ______________________ |
BY MAIL: |
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HMA Technology |
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| _____ | Check/Money Order (To: HMA Technology) |
10 Sprucehaven Crt. |
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Guelph, ON N1G 4X7 |
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Canada |
Allow 1-3 weeks for delivery on receipt of order.
Payment by personal check may extend delivery
schedule.
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NETWORK HU-M-AN VERSION 6 PRICES |
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Quantity |
HU-M-AN (License and CD) |
Unit Cost |
Amount |
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Network 30 Station License (@US$595.00) |
CAN$695.00 |
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Sub-total |
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Ontario Residents
PST (8%) |
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Prices in effect
until December 31, 2009 |
TOTAL |
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Name:
________________________________________________________________________
Institution Name:
______________________________________________________________
Shipping Address:
_____________________________________________________________
______________________________________________________________________________
City: ________________________
Province: ______________ Postal Code: ______________
Daytime Phone: (________)
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E-mail Address: _______________________________________________________________