Lakes Environmental Software Order Form (Canada Residents Only)
419 Phillip Street - Unit 3
Waterloo, Ontario, N2L 3X2, Canada
Fax: (519) 746-0793 / Phone: (519) 746-5995
e-mail: info@weblakes.com
Shipping Address:
Name: _________________________________________________________________________
Company: ______________________________________________________________________
Address: _______________________________________________________________________
City: _________________ Province: __________ Postal Code:____________ Country: CANADA
Phone:( ___ ) ____________ Fax:( ___ ) _____________
e-mail:__________________________
| Product Name | Quantity | Purchase Price (CDN$) | Total Price (CDN$) |
| ISC-AERMOD View Package | $ 2,100.00 | ||
| CALRoads View (List Price C$2100.00) |
$ 1,350.00 | ||
| Screen View | $ 540.00 | ||
| RMP View (Introductory price offer) | $ 1,350.00 | ||
| SLAB View (list price:
CDN$ 2,350) (Introductory price offer) |
$ 1,350.00 | ||
| SLAB 3D (Introductory
price offer: Purchase SLAB View and get SLAB 3D View for $675) |
$ 1,350.00 (stand-alone) $ 675.00 (with SLAB View) |
||
| Ontario: [ __ ] Air Mail** ($10) [ __ ] FedEx** ($20) |
|||
| Other Provinces: [ __ ] Air Mail** ($15) [ __ ] FedEx** ($35) [ __ ] XPRESSPOST ($20) |
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| For each additional package add $10 | |||
| - GST (7%) - | |||
| - Ontario Residents - PST (8%) - | |||
| - Grand Total (CDN$) - |
Operating System: |
Preferred Hardware License Key (if applicable) |
||
| [ __ ] Win 95 | [ __ ] Win 98 | [ __ ] Win Me | [ __ ] USB Key |
| [ __ ] Win 2000 | [ __ ] Win XP | [ __ ] Win NT | [ __ ] LPT Key (Printer Port) |
Method of Payment:
[ __ ] Visa [
__ ] MasterCard [ __
] American Express [
__ ] Wire Transfer*
Cardholder Name : _______________________________________________________________
Card No. :
_______________________________________________ Expiration Date :____/____
Cardholder Signature : ____________________________________________________________
All our products are backed by 1-year of free
upgrades and 1-year of technical support.
Special rates for education, multiple users, competitive upgrades and annual license.
* Please contact Lakes Environmental Software
for Wire Transfer information.
** FEDEX shipping time is approximately 1-2 business days. Airmail shipping time is approximately 1 week depending on the location.