V/2-Knowledge base Order form

February 2001
Dr to: V/2-Com (Verhaart), P O Box 8415, Havelock North, New Zealand
e-Mail : verhaart@xtra.co.nz (click hereb_html1.gif (183 bytes) to email direct)

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Section One: Your Details

Name or Organisation  
Address
Contact Name  
Phone Number  
Fax Number  
eMail:  
URL:  
Other notes:  

If you would be happy to have your organisation included in the list of clients, please tick here [   ].

  • Tick the details above you would like included. (Also refer to the Special notes following.)

Section two: Order Details

V/2-knowledgebase files: Prices effective until 31-12-2001
New Update
Secondary School site licence or Single user [ ] $100 [ ] $ 60
Single site licence [ ] $150 [ ] $100
(Check option above) Value $
Foreign Orders (Add NZ$15) $

TOTAL

$

Section Three:Payment Details

Cheque number

 

cheque enclosed
Order number

 

N.Z site licenses only

Section Four: Additional Notes

Notes:

Pricing Notes

Special Notes

[Rev: 04/02/01] © 1999-2001 V/2-Com (Verhaart), P O Box 8415, Havelock North, New Zealand.