Purchase Order Form - JAWS PDF Editor

Payment Options:-
• Phone your order through to us on (618) 9418 5071
 • Fill in the form, then print and fax to: (618) 9467 0080
• Fill in the form & mail your cheque to: PO Box 660, Vic Park, Western Australia 6100

All cheques made payable to: YLINK SERVICES PTY LTD

_______AUSTRALIAN ORDERS ONLY (Australian Dollars - GST Included)_______

I would like to order (enter number of copies and then select Licence type)
1 - 4 User Licence @ $87.00 per user 5 - 10 User Licence @ $78.00 per user
11 - 25 User Licence @ $69.00 per user
More than 25 Licences - POA

___________INTERNATIONAL ORDERS ONLY (U.S. Dollars - No Taxes Apply)_______

I would like to order (enter number of copies and then select Licence type)
1 - 4 User Licence @ $58.00 per user 5 - 10 User Licence @ $52.00 per user
11 - 25 User Licence @ $46.00 per user
More than 25 Licences - POA
First Name Last Name Company Name PO Number
Address
Telephone (Daytime):  
Fax: E-mail:

Cheque Payment of $ is enclosed or charge $ to Credit Card
Amex Mastercard Visa   Expiry Date /
Card No:

Cardholders Name (as on card):

Cardholders Signature: ____________________________________

Authorisation No. (office use only):

COMPLETE AND THEN PRINT THE FORM if paying by post
or if paying by fax, Fax to: (61 8) 9467 0080
(Your Privacy will always be respected - no details divulged to any third parties)
Don't Forget to Sign Your Name ... AND ... Thanks ... for choosing YLink!

P.O. Box 660, Victoria Park, Western Australia 6100
Tel: (08) 9418 5071 Fax: (08) 9467 0080 E-mail: info@ylink.com.au
A.C.N. 093 510 037 - A.B.N. 60 093 510 037