Please include this ORDER FORM with all orders, including credit-card orders placed through NorthStar Solutions. E-mail a scanned copy to jphilo @ mailway.com, fax it to 1-805-492-6413, or send a hard copy along with your purchase order or your check (U.S. funds only) made out to 'John Philo, software consultant' to: John Philo, 3329 Heatherglow St., Thousand Oaks, CA 91360 U.S.A.

Program licenses ordered:

____ bundle, new DCDT+ and SVEDBERG license @ $900

____ bundle, new academic/non-profit DCDT+ and SVEDBERG license @ $500

____ DCDT+ new standard license @ $600

____ DCDT+ new academic/non-profit license @ $400

____ bundle, new DCDT+ standard license with existing SVEDBERG license @ $400

____ bundle, new academic/non-profit DCDT+ license with existing SVEDBERG license @ $250

____ DCDT+ upgrade version 1.xx license to version 2 @ $250

____ DCDT+ academic/non-profit upgrade @ $150

____ SVEDBERG new license @ $500

____ SVEDBERG new academic/non-profit license @ $250

____ bundle, new SVEDBERG standard license with existing DCDT+ version 2 license @ $300

____ bundle, new academic/non-profit SVEDBERG license with existing DCDT+ version 2 license @ $100

CUSTOMER INFORMATION

Note: often the official license holder is a Principal Investigator or other permanent, senior staff member, but someone else is the main software user and the person to be contacted about program updates. The form below allows for this possibility.

Name under which the license should be issued:

(list current license holder for upgrade or bundle with existing license)

___________________________________________

Name and e-mail address of principal user or contact (if different from license holder):

________________________________________________________________

Contact Phone:  ___________________________________

Contact FAX:    ____________________________________

University/Company/Institute:  

___________________________________________

Address:  __________________________________

               __________________________________

               __________________________________

Name and e-Mail address to which license should be sent:  

___________________________________________