Hidden Image Order Form

Name:			

Company:			

Address:			
			
			
								

						# of Copies

HI-512	$399 ($US)   ($535 CDN)   		X			$
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HI-1024	$499 ($US)   ($670 CDN)			X			$		
						----------------	---------------
Shipping/Handling	$15  ($30 overseas air) X  			$		
						----------------	---------------
Canadian Residents Please Include 	7% GST				$		
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Ontario Residents Please Include 	8% PST				$		
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Total									$		
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For North America Payment should be by Personal Check or U.S./Canadian Money Order
Overseas Payment should be via US$ Internatinal Money Order Payable to Sehgal Corporation

(Sorry, we do not accept VISA or MC)
 
Purchase Orders accepted from government institutions and major universities within Noth America

Please allow 4 weeks for delivery (next day FEDEX  $40.00 within North America)

Mail To:

1776 Windflower Way
Gloucester, Ontario 
Canada K1C 5Y9

Inquiries / Support:

Telephone:	(613) 794-1134 
Fax:		(613) 837-3011
Internet:	sehgal@ncs.dnd.ca


Japanese customers please contact our distributer for prices: 	German/Swiss/Austrian customers please 
								contact our distributer:

Interdigital 							Baader Planetarium
Dai-3 Matsuya Building 						Zur Sternwarte
2-14, 1-Chome							82291 Mammendorf
Uehonmachi-Nishsi, Chuo-ku 					Germany
Osaka,  Japan 							Attn: Mr. Thomas Baader 
Tel: 	06-763-2596 						Tel:   	49 82 458802
FAX: 	06-765-7963 						FAX: 	49 81 459805