Pedigree-Draw Order Form

 

 

Shipping Information 

 

 

 

 

Name

____________________________________________

Affiliation

____________________________________________

Address

____________________________________________

 

____________________________________________

City

____________________________________________

State/Prov/Other

____________________________________________

Postal Code

____________________________________________

Nation

____________________________________________

Phone

____________________________________________

E-Mail Address

____________________________________________

 

 

 

 

Registration Information 

 

 

 

 

Please enter a name and e-mail address for each CD-ROM or Single-User License ordered. The address is required to generate the registration code. If the licenses are for general use, in a classroom computer lab for example, a faux address of the form "name@place" may be specified (e.g. user1@CL101). Use at least 3 characters with embedded @ sign. Attach a separate list for orders of more than 5 copies.

Name (optional)

__________________________________
__________________________________
__________________________________
__________________________________
__________________________________

 

E-mail Address (required)

__________________________________
__________________________________
__________________________________
__________________________________
__________________________________

 

 

 

 

 

Quantity and Cost 

 

 

 

 

Pedigree-Draw 6 on CD-ROM

 

_____ x $45 =

$_______

3 or more copies

 

_____ x $30 =

$_______

Printed User's Guide

 

_____ x $15 =

$_______

Shipping ($5 US, $10 Int.)

 

$_______


 

Pedigree-Draw 6 Single-User License

 

_____ x $45 = $_______
3 or more copies

 

_____ x $30 = $_______


Total $_______

 

 

Method of Payment 

 

 

 

 

_____ Check # ____________________
_____ Money Order # ____________________
_____ Purchase Order # ____________________

All amounts shown are in U.S. dollars (USD). We cannot accept payment by credit card via this form; please use Kagi, our secure online re-seller.

 

 

 

 


Updated 24 July 2005