Micronex®—MinIdent-Win Purchase order form

Thank you for your interest in MinIdent-Win. Please complete this form and make a copy for your records. It will constitute your purchase order.

Name of purchaser _____________________________________________________________________________

Address of purchaser ___________________________________________________________________________

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Phone number of purchaser ______________________________________________________________________

Fax number of purchaser _________________________________________________________________________

email address of purchaser _______________________________________________________________________

Address for delivery if different from above _________________________________________________________

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Name of end-user if different from purchaser ________________________________________________________

Phone number of end-user _________________________________________________________________________

Fax number of end-user ___________________________________________________________________________

email address of end-user _________________________________________________________________________

Please supply us/me with:

______copies* of the MinIdent-Win software, full Professional Edition^§ @ US$299 …………….______________

A site license for _____ installations^¶ of MinIdent-Win Professional Edition (see fee schedule)______________

______copies* of the MinIdent-Win software, Collectors' Edition^‡ @ US$149 …..……………….______________

______copies* of the MinIdent-Win software, Student Edition^† @ US$99 ….………...…………..______________

A site license for _____ installations^¶ of MinIdent-Win Student Edition (see fee schedule).......______________

Add packing & shipping by mail @ US$20 (any number of copies) .…………………….………..________________

or substitute courier charges for quicker delivery @ US$35 (any number of copies) ……….._______________

Add GST or VAT (if applicable—No GST or VAT on any order placed before 01JAN08) ……..________________

Grand Total ..………...…………..….………...…………..….………...………….............................________________

^¶ When networked from a server, the number of installations is the number of platforms from which the software is simultaneously accessible.

* Each copy is licensed for installation on one (1) computer platform only and bears a unique product code which is required for installation and registration.

^§ The Professional Edition carries an on-going license, is upgradable & includes unnamed minerals

^‡ Collectors' Edition is upgradable, carries an on-going license, but does not include unnamed minerals.

^† The Student Edition includes unnamed minerals, is not upgradable and carries a 4-year term license. It requires verification of student status. Please supply the email address of your Department's Chairman or Professional Officer:

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Payment in full in United States dollar funds (or Canadian equivalent**) is attached by (check one):

§ International Money order

§ Western Union Money transfer

§ Certified cheque drawn on any Canadian Bank or Trust Company

** Use the exchange rate posted on our website (www.micronex.ca) at the time order is placed

For companies or institutions with established credit only: Please supply against our purchase order no.:

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Please note the product cannot be registered and fully activated until payment has been received.

Send your completed order to: Micronex®, 4356 - 148 Street, Edmonton, Alberta, Canada, T6H 5V5.

Dated:______________________________________________________________________________________________

Signature of Purchaser's Financial Authority

For Micronex Use—please do not write in this area.