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)

l_stone.gif (2795 bytes)

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.

mulberry outlet coach outlet burberry outlet coach factory outlet mulberry outlet coach outlet UGG Pas Cher cheap oakley sunglasses cheap nfl jerseys wholesale nfl jerseys coach outlet canada black friday coach ugg boots on sale cheap uggs gucci outlet oakley outlet coach outlet