Norsys - Mail Order Form

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Mail Order Form

Please print, fill out, and fax completed form to +1 604.221.2238 or mail it to the below address. Or instead, you may wish to use the online order form, or get info on submitting a purchase order.

Norsys Software Corp.
3512 West 23rd Avenue
Vancouver, BC, Canada V6S 1K5

Bill To:
Name	____________________________________
Organization	____________________________________
Street Address	____________________________________
	____________________________________
City	____________________________________
State/Province	____________________________________
Country	____________________________________
Zip/Postal Code	____________________________________
Email	____________________________________
Phone	____________________________________

Technical Contact:	(fill out if the primary user of Netica will be different from the above)
Name	____________________________________
Email	____________________________________

Send To:	(fill out if ordering manual(s), and their destination is different from above)
Name	____________________________________
Organization	____________________________________
Street Address	____________________________________
	____________________________________
City	____________________________________
State/Province	____________________________________
Country	____________________________________
Zip/Postal Code	____________________________________
Phone	____________________________________

____ copies of Netica Application for Windows
	@ $585	$ ________
	or educational price @ $285	$ ________

____ copies of Netica API Programmer's Module
	@ $685	$ ________
	or educational price @ $285	$ ________

	____ for MS Windows (2000/XP/7)
	____ for Linux
	____ for AIX
	____ other ______________

	C version: to order a paper manual for Netica-C API, add $145 (includes shipping)	$ ________
	Java version: to order a Java manual add $85 (includes shipping)	$ ________
	Add $35 to include a CD-ROM with this order	$ ________


Subtotal		$ ________

Canadian residents only, add 12% HST		$ ________

Total (US $)		$ ________

All prices are in US dollars. Purchase price includes support by email and upgrades for one year (by download).

Special Instructions: (P.O. Number, VISA, MasterCard, or Amex number and expiry, etc.):

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