| Ordering InformationInformation Required to Process Your Order
 
 1. Shipping Instructions
				 
				
				
				| Add US$50 for shipping costs on all orders OR provide special account numberand details you wish to be used for shipping
2 day delivery to North America
				5 day delivery outside of North America
				Indicate that product should be shipped to: Purchaser OR End User
				 |  2. Purchase Order Information: 
				Please use the appropriate Matrikon company name and address when creating purchase orders, depending on the Matrikon branch you
 are purchasing from:
 
 
 
				| My order is being purchased from: |  
					| Canada and United States 
					(New Order System Notice) Matrikon International
 Suite 1800, 10405 Jasper Avenue
 Edmonton, Alberta, Canada
 T5J 3N4
 Fax: 1.780.448.9191
 Canadian GST #: 899644942 RT0001
 Email: OPCSales@matrikon.com
 
 Please include your business number and your federal tax ID number
 |  
					| Asia-Pacific 
					(New Order System Notice) Matrikon International
 15 Warabrook Boulevard
 Warabrook, NSW
 Australia, 2304
 Fax: +61 (7) 4960 1212
 ABN # 74 000 646 882
 Email: OPCSales@matrikon.com
 
 Please include your ABN and IRD numbers
 |  
					| Other Matrikon International
 Suite 1800, 10405 Jasper Avenue
 Edmonton, Alberta, Canada
 T5J 3N4
 Fax: 1.780.448.9191
 
 |  |  3. Billing Information
				 
				
				
					| Name
					Title
					Department
					Company
					Phone Number
					E-mail Address
					 |  | Mailing Address
					City
					State
					Country
					Zip Code
					 |  4. Shipping Information (if different from above)
				 
				
				
					| Name
					Title
					Department
					Company
					Phone Number
					E-mail Address
					 |  | Mailing Address
					City
					State
					Country
					Zip Code
					 |  5. End User Information (if different from above - for customer support ONLY)
				 
				
				
					| Name
					Title
					Department
					Company
					Phone Number
					E-mail Address
					 |  | Mailing Address
					City
					State
					Country
					Zip Code
					 |  6. Billing Instructions
				 
				
				
				| Payment must be received by Matrikon International prior to software distribution. The following options are available:
				 
				A. Payment by credit card: The following information must be faxed to Matrikon (fax number: 780 448 9191):
				 
				Name of card holder
				Credit card number
				Expiration date
				Amount of purchase
				Signature of card holder
				 
				Visa (US or CDN Funds)
				MasterCard (US or CDN Funds)
				American Express (US or CDN Funds)
				 |  
				7. Billing Inquiries: billing@matrikonopc.com
				
				| 
				B. Payment by bank transfer: You will need the following information to "wire" funds to Matrikon:
				 1. Matrikon Address:
				 
				Name: Matrikon International
				Address: Suite 1800, 10405 Jasper Avenue
				City: Edmonton
				Province: Alberta
				Country: Canada
				Postal Code: T5J 3N4
				Phone Number: 780 448 1010
				Fax Number: 780 448 9191
				 2. Bank Information:
				 
				Bank Name: Royal Bank of Canada
				Bank Number: 003
				Transit Number: 00002
				Swift code: ROYCCAT2
				Account Number: 1144229 (CDN Funds)Account Number: 4050035 (US Funds) |  
 
 
 
 
	
         
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