Lakes Environmental Software Order Form (US and Overseas)

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: _______________State: __________ Postal Code:____________ Country: ____________

Phone:( ___ ) ____________ Fax:( ___ ) _____________ e-mail:__________________________

Product Name Quantity Purchase Price (US$) Total Price (US$)
ISC-AERMOD View Package   $ 1,499.00  
CALPUFF View Package   $ 4950.00  
CALRoads View
(List Price US$1495)
  $ 995.00  
Screen View   $ 400.00  
RMP View (Introductory price offer)   $ 995.00  
SLAB View   $ 995.00  
SLAB 3D (Introductory price offer:
Purchase SLAB View and get SLAB 3D
for $495 - a 50% discount!)
  $ 995(stand-alone)
$495(with SLAB View)
 
Shipping Destination    [ __ ] FedEx *   [ __ ] Air Mail *  
USA           $ 40.00           $ 15.00  
Mexico           $ 60.00           $ 40.00  
South & Central America           $ 85.00           $ 30.00  
Western Europe           $ 65.00           $ 40.00  
Eastern Europe           $ 90.00           $ 35.00  
Africa          $ 100.00           $ 40.00  
Asia & Australia           $ 70.00           $ 30.00  
For each additional package add:

     $ 15.00

 
Grand Total (Software + Shipping) (US$)  
 Import duties and taxes/fees applicable in your country are the purchaser's responsibility
 * FEDEX shipping time is approximately 2-3 business days. Airmail shipping time is approximately 1-2 weeks depending on the location.

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            [ __ ] Money Order             [ __ ] Wire Transfer
Cardholder Name : _______________________________________________________________

Card No. : _______________________________________________ Expiration Date :____/____
Cardholder Signature : ____________________________________________________________

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.