PanaVue Order Form

Prices are in Canadian dollars (CAD) with equivalent US dollar (USD) values given as information purpose only (an exchange rate of $0.65 USD for $1.00 CAD was used here, it represents a good approximate of the actual rate). You should not worry for currency exchange as your credit card company will charge you in the currency of your own country.

Shipping & Billing Information

Name:
Company:
Address:

City:
State/Prov.:
Zip/Postal Code:
Country:

Phone:
Fax:
Email:

Products

PanaVue ImageAssembler
$99 CAD (about $64 USD) for electronic* version
$106 CAD (about $69 USD) for electronic* and CD-ROM versions
Quantity: ________
Price: $________ CAD

* electronic version is for downloading from the web without need for any shipping and is ready for immediate use. It can be backed up with your usual backup procedure.

Shipping (only for the CD-ROM version)

World-Wide Airmail $6.50 CAD (about $4.20 USD) ______

Total Payment (software + shipping)

 $__________ CAD
(Canadian resident please add 7% GST. PanaVue federal tax number is: 142759703)

Payment Method

choose one: VISA _____   MasterCard _____

Credit Card Number:

Exp. Date:

Name on Credit Card:

This order form can be returned the following ways:

1) Fax: 1-418-688-4723
4) Mail: attn Sales Department
PanaVue
616 boul. Rene-Levesque Ouest
Quebec (Qc)
Canada G1S 1S8