Please include this ORDER FORM with pre-paid orders and purchase orders. Fax it to 1-805-492-6413 or send a hard copy along with your purchase order or with 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:

____ DCDT+ new license @ $600

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

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

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

____ SVEDBERG license @ $400

____ SVEDBERG academic/non-profit license @ $250

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):

___________________________________________

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:  

___________________________________________