SWIFT INFOTECH - SWIFTMAP ORDER FORM

To order SwiftMap you may do so by printing out this order form, filling it out, then either fax it to us or Swift Infotech if you are paying by American Express, or post it if you are paying by Money Order or Cheque. Make cheques payable to Swift Infotech.

      Swift Infotech                                              Fax: (08) 8367 5554
      PO Box 8063 Station Arcade        (International 61-8-83675554)
      Adelaide   South Australia   5001
 

YOUR DETAILS

Name:      ___________________________________________________________
Company:   ___________________________________________________________
Address:   ___________________________________________________________
City:      __________________ State: ______________ Postcode: ________
Telephone: (__)_____________________ Facsimile: (__)__________________
Email:     ___________________________________________________________

 
CD TITLES                                                         PRICE            QTY                TOTAL
Vol 1-Adelaide & Environs SA          $149.90      ____       $_______
Vol 2-South East SA                   $149.90*     ____       $_______
Vol 3-The Murray & Riverland SA       $149.90*     ____       $_______
Vol 4-The Flinders Ranges SA          $149.90*     ____       $_______
Vol 5-The Mid North SA                $149.90*     ____       $_______
                          Discount for 5+ CD's     10% off    $-______
OPTIONAL EXTRAS
SwiftMap GPS Licence Option           $ 99.90      ____       $_______
                          Discount for 5+ CD's     10% off    $-______

Postage & Handling (within SA)        $  0.00                 $   0.00
Postage & Handling (outside SA)       $  5.00                 $_______
Postage & Handling (international)    $  15.00                $_______

Grand Total                                                   $_______

YOUR PAYMENT OPTIONS

    q Cheque
    q Money Order
    q American Express   __________-_________-________-_____________ 
             Start Date   ___________Expiry Date___________ID________

              Signature   ____________________________Date___________
 

DEMONSTRATOR REFERENCE     Reference No. JPR01      Geosurveys Australia Pty Ltd

All prices are in Australian dollars correct as of 01/01/2000.  *Not Yet Released.