Purchase Single User License by Fax or Mail

Complete and print the following order form. All fields labeled in RED are required.

FAX TO: (payment by VISA or Master Card)

Maxium Developments, Inc.
FAX: (250) 448-5017

MAIL TO: (payment by VISA, Master Card, or check)

Maxium Developments, Inc.
2508 Selkirk Drive
Kelowna, BC, Canada V1V 2V6

Checks accepted in Canadian and US funds.

Contact / Billing Information
First Name:
Last Name:
Name of Academic Institution:
Mailing Address 1:
Mailing Address 2:
City:
State or Province:
Country:
Zip or Postal Code:
Phone Number:
Including Area Code.
Email Address:
Note: An authorization code cannot be returned unless a valid email address is entered.
Confirmation Email Address:
Duplicate of above email address.

Registration Information
Registration Name:
EXACT SPELLING OF END USER / ACADEMIC INSTITUTION THAT IS LICENSING MASTER GRADE.
(Minimum 10 Characters)

Purchase Information
All prices are displayed in Canadian Currency. If you are ordering from outside of Canada, please see the Purchase Method section below.
ITEM UNIT
PRICE		 QUANTITY AMOUNT

Master Grade (Macintosh OS X )
Single User License
Release 3

69.95
ONLINE VERSION: Authorization Code returned via email. Software and documentation downloadable.
Master Grade (Windows)
Single User License
Release 3
69.95
ONLINE VERSION: Authorization Code returned via email. Software and documentation downloadable.
SUBTOTAL:
I am a Canadian Resident:
Add 5% GST for Canadian Residents
I am a British Columbia (Canada) Resident:
Add 7% PST for BC Residents
FINAL TOTAL:

Purchase Method
Select Credit Card or Check

Credit Card (for fax and mail orders)
All prices are in Canadian currency. If you are ordering from outside of Canada, your credit card provider will convert the amount to your currency.

Credit Card Type:
Purchase Amount (Canadian Funds):
Cardholder Name:
(Exactly as it appears on card)
Card Number:
Expiration Date:
Check (for mail orders)
Prices displayed in both US and Canadian currency.
Note that personal checks may take up to 15 business days to clear.


Legal
I am aware of and understand the terms and conditions of Maxium Development's Return Policy. I also understand that I must agree to the terms and conditions of Maxium Development's Standard End User Agreement before the software I am purchasing can be fully enabled.


____________________________________
Print Name


____________________________________
Signature (required to process order)

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