Ordering Information

Information Required to Process Your Order

1. Shipping Instructions

Add US$50 for shipping costs on all orders OR provide special account number     and 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:
United States Matrikon Inc. Suite 200, 1250 West Sam Houston Parkway South Houston, Texas, USA 77042 Fax: 1.780.448.9191 Federal ID#: 52-2182184 Please include your federal tax ID number	Canada Matrikon Inc. Suite 1800, 10405 Jasper Avenue Edmonton, Alberta, Canada T5J 3N4 Fax: 1.780.448.9191 Canadian GST #: 10142 2459 RT0001 Please include your business number
Asia-Pacific Brisbane Technology Park 35 Miles Platting Road Eight Mile Plains, Queensland Australia 4113 Fax: +61 (7) 3423 2594 ABN # 21 002 695 534 Please include your ABN and IRD numbers	Europe Matrikon Deutschland AG Venloer Str. 25 50672 Köln, Germany Fax: +49 (0)221 96977-22 Tax # 215/5827/1151 VAT # DE209401227 Please include your VAT number
Other Matrikon Inc. 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 MatrikonOPC 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 Accepted credit cards: Visa (US or CDN Funds) MasterCard (US or CDN Funds) American Express (US or CDN Funds)

B. Payment by bank transfer: You will need the following information to "wire" funds to Matrikon: 1. Matrikon Address: Name: Matrikon 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)