PanaVue Order Form

All prices are in Canadian (CDN) dollars with equivalent US dollar values given as information purpose only (an exchange rate of $0.70 US for $1.00 CDN 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.

Prices are subject to change. If the actual price is lower than the price listed here, the actual price will be charged. If the actual price is higher, we will contact you to get your authorization before proceeding to any shipping, so please provide your fax, phone, or email address.

Shipping & Billing Information

Name:
Company:
Address:

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

Phone:
Fax:
Email:

Products

PanaVue ImageAssembler
$92 CDN (about $64 US) for electronic* version
$99 CDN (about $69 US) for electronic* and CD-ROM versions
Quantity: ________
Price: $________ CDN

* electronic version is for downloading from the web without need
  for any shipping and is ready for immediate use.

Shipping (only for the CD-ROM version)

choose one:
Worldwide Special Delivery $11 CDN (about $7.70 US) ______
WorldWide Airmail $6 CDN (about $4.20 US) ______

Total Payment (software + shipping)

 $__________ CDN

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
2) Phone: 1-418-688-4720
3) Email: sales@panavue.com
4) Mail: attn Sales Department
PanaVue
616 boul. René-Lévesque Ouest
Québec (Qc)
Canada G1S 1S8