To print this form, click on the Print button on the button bar at the top of the page or select Print Topic... in the File menu. Review the Registration Instructions for information on how to complete this form.
Note that orders submitted via this order form are processed manually. There is a small surcharge (US$35) for orders less than $300 in value submitted by this order form. You can avoid the surcharge by ordering via credit card or increasing your order to at least $300.
Name: |
Date: |
Company: |
|
Address: |
|
City, State, Zip: |
|
Country: |
|
Phone: |
|
E-mail address: |
|
Product Information
SDI LPD for Windows |
|
||
_______ |
Quantity |
|
|
_______ |
Unit Price |
Price per copy. See the SDI LPD price chart |
|
_______ |
Subtotal |
Unit price * quantity |
|
_______ |
Maintenance Plan |
15% of purchase price ($100.00 minimum) |
|
_______ |
Processing Fee |
$35.00 on orders < $300.00 |
|
_______ |
Total Price |
|
|
Payment method:
___ Purchase Order: purchase order number: ______________________
___ Wire Transfer: wire transfer reference number: ______________________
___ Check Enclosed: enclose check with this form
BY SIGNING THIS FORM YOU CONFIRM THAT YOU HAVE READ AND AGREE TO ALL TERMS AND CONDITIONS OF USE IN THE SDI LPD License Agreement and Maintenance and Technical Support Agreements.
Signature: _____________________________________________________
SDI USA, Inc.
PO Box 5801
San Mateo, CA 94402
Telephone: 650 572 1200