Purchase Site (Multiple User) License by Fax or Mail

Instructions

STEP 1:
Contact sales@maxium.com to obtain a quote based on your total student enrollment.

STEP 2:
Complete and print the following order form. All fields labeled in RED are required.

STEP 3:
Send printed (and signed) order form, as well as proof of current student enrollment (signed by school administrator) to Maxium Developments by Fax or Mail.
Where To Send

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.
Fax 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.
Designated Site-Based Support Person Name:
Designated Site-Based Support Person Email:

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

Miscellaneous Information
School Type:
How did you hear about Master Grade?
What school administration software does your school use (if any)?
Keep me informed about product updates and announcements.

Purchase Information
All prices are displayed in Canadian Currency. If you are ordering from outside of Canada, please see the Purchase Method section below for exchange information.
ITEM SCHOOL
ENROLLMENT		 QUOTED PRICE

Master Grade
Site License
Release 3

$

ONLINE VERSION: Authorization Code returned via email. Software and documentation downloadable.
Select Platform:
Minus Special Promotion (if applicable)
 $
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

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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