BioWIN Order and Registration Form
Please complete, print and mail with enclosed cheque or money order to:
Greg Kacy
G·Wave Solutions
1231 Pacific Blvd.
Vancouver, BC, V6Z OE2
Canada
User Information
Date:
Name:
Address:
City:
State/Province :
ZIP/Postal Code :
Country:
Email:
Phone:
Order
Internet Download :
CD ROM :
Quantity :
License Fees
Internet Download
-
US$ 10.00
(please supply clearly written email address)
CD-ROM
-
US$ 15.00
(price includes shipping & handling. Please add US$ 2.00 for orders outside North America)
Enclosed check or money order should be made payable to Greg Kacy
Feedback
Comments:
G·Wave Solutions - www.gwavesolutions.com