Versioneer - Order Form

Versioneer Order Form

	Date __________________
Name	___________________________________________
Company / Organization	___________________________________________
Address	___________________________________________
	___________________________________________
City, Province/State, Postal/Zip	___________________________________________
Country	___________________________________________

We need to buy	_______	Versioneer licenses
We currently have	_______	Versioneer licenses
We now have a total of	_______	Versioneer licenses
This Order	_______

From	To	Each	Order
1	1	39.95
2	10	31.95
11	25	24.95
26	50	18.95
51	100	13.95
101	200	9.95
201	500	6.95
501	1000	4.95
Total This Order
		GST	7%
		PST	8%
			Grand Total

Signature	___________________________________________
Company Official	___________________________________________
Day Phone	___________________________________________
E-Mail address	___________________________________________

Send this completed form and a check payable to

1429307 Ontario Ltd.
128 Heathwood Hts. Dr.
Aurora, Ontario L4G 4W1

Payment for Canadian orders can be in Canadian dollars drawn on a Canadian Bank. All other orders are payable in U.S. dollars drawn on a Canadian or U.S. Bank. You can also send international postal money orders in US dollars. Pricing on this order form is guaranteed for 2001. For additional information (including our license agreement) please see our website.

We'd love to have your comments	___________________________________________
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