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Order form for Student use of MCLNote: This form is only for use by full time students to order MCL products. If you are an individual or a company, use the general order form. If you are an educational institution, use the educational order form.
Date: _____________________________
First name: _______________________ Last name: __________________________
Address: ___________________________________________________________________
__________________________________________________________
City: ____________________________ State: ___________________
Zip: _____________ Country: ________________________________
Telephone: ___________________________ Fax: _____________________________
E-mail: ______________________________
Quantity Product Total
-------- ------- ---------
MCL Licenses & Support
______ MCL 5.1 Single User License $450 $_____.00
______ MCL 5.1 Single User License Upgrade $177 $_____.00
______ MCL Annual Support Contract, 1 year $140 $_____.00
______ MCL 5.1/4.x Redistribution License $450 $_____.00
______ MCL License & Redistribution License Bundle $600 $_____.00
______ MCL 5.1 Redistribution License Upgrade $60 $_____.00
from MCL 4.x Redistribution License
5% Sales Tax (for Massachusetts orders only) $_____.__
Shipping U.S. ($5.00 per license) $_____.00
Shipping Canada ($10.00 per license) $_____.00
Shipping Overseas ($12.00 per license) $_____.00
TOTAL $_____.__
PAYMENT (only the following are accepted):
Check (drawn on U.S. bank) number: _____________________ Date: ___________
Credit card: VISA number: _____________________________ Exp: ___________
MasterCard number: _____________________________ Exp: ___________
Signature: _________________________________________________
IMPORTANT:
A copy of your current student ID is required for status verification
School: ________________________________________________
Student ID number: _____________________________________
Prices and terms subject to change without notice. Send your completed order form to Digitool at any of these addresses.
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