GR-FX Order Form - Order Doc ID 02021 ---------------- PRINT OUT THE FOLLOWING, FILL IT IN AND FAX US OR MAIL US --------------------------------------------------------- Please provide the following information: Date .................... Name ............................................... Company ............................................... Address ............................................... City ...................... State/Prov. ............ Zip/Post Code ................ Country ................ Phone Number ......................................... Fax Number ......................................... E-Mail ................................... (Mandatory) Where Did you find our software ...................... ____________________________________________________________ Please circle which version of Access you want Version 97 OR 2000 OR 2002 ____________________________________________________________ This is the cost of the software. Circle your choice US$195.00 GR-FX Professional Pack US$75.00 The Toolbox and The Toolshed US$95.00 Graf-FX US$99.95 The Workbench and The Toolshed ____________________________________________________________ Payment Method: Cheque Only Total ________ add 10% surcharge ________ * Grand Total ________ Make cheques payable to Garry Robinson Notes For The Order Form Above ------------------------------ If you wish to order ONLINE, then point your browser to http://www.vb123.com/orders/ This is the easiest way to order and secure transactions are supported. GR-FX and 30,000 other developers use the services of the Digibuy for Web ordering. To register send cheque with this form to: GR-FX Pty Limited PO Box 2121 Clovelly, NSW Australia, 2031 Make sure that you email address is legible and send us an email to remind us that your order is in the mail. Mail to Australia is sometimes delivered by Kangaroo so allow a week for delivery. * Other countries convert to your currency at current exchange rates if not using Mastercard or Visa Card Thank you for your interest If you have any enquiries phone to + 61 2 9665 2871 or email access@gr-fx.com Garry Robinson Manager of GR-FX Pty Limited