*****  ORDER FORM for the HIPRE 3+ Decision Support Software  *********

Send this form with your payment or purchase order to either distributor:

Santa Monica Software  Inc.           Scandinavian Softline Technology Inc.
28818 Selfridge Drive                 Innopoli
Malibu ,CA 90265                      SF-02150 Espoo
fax  310-395-7635                     FINLAND 
phone  310-451-2382                   fax    int+358-0-455-4629
hipre@sms-usa.com                     phone  int+358-0-43542828  
  
The price of the single user version is US $295
The single user license does not allow installation into a network.  
Site and network licenses are also available  -please inquire for pricing.

Check delivery media:   __ 3.5 in floppy __ 5.25 floppy

HIPRE licensed to: __________________________________________________

Company:           __________________________________________________

Contact person :   __________________________________________________

Shipping address:  __________________________________________________

                   __________________________________________________

                   __________________________________________________

                      State  _________________ZIP  __________________
 
                      Country  ______________________________________

Tel. _______________________________ Fax. ___________________________

                                   email ____________________________

                                    Date of order:___________________


             Please send  _____ copies @ $295 each total: ___________
                Add shipping (within USA $5 ,int'l $10) : ___________
                           CA delivery please add CA tax: ___________

                 Total amount submitted or to be charged: ___________ 

Payment by ___ check (personal checks ok)     ___ credit card

Credit Cards:     __VISA     __OK      __EUROCARD     __MASTERCARD.

Card #________________________________________ Expir.date ___________

          Name on credit card: _____________________________________

Date ______________  Signature ______________________________________

(For deliveries from Finland the charge will be in Finnish marks and
the amount is approximately the same as the above US dollar amount.)
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