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Impact Explorer Order Form
To place your order for Impact Explorer, simply fill in
this form and fax or post it to:
Banxia Software Ltd, PO Box 134, Kendal, Cumbria, LA9 4XF.
Fax: UK +44 (0) 845 108 2995.
Banxia Impact Explorer is also available from our international
distributors. Products normally dispatched from stock.
Price & Order Codes page: Impact Explorer
Online purchasing: click
here.
Your Order
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Product Order Code
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Unit Price
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Quantity
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Total
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| Discount code: |
. |
. |
. |
Shipping
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UK mainland
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Europe
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Other countries
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Total
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£6
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£19
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£30
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Product and shipping total
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£
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Add 17.5% VAT (sales tax) in UK
and in European Union without a VAT number.
Add nothing if you are outside of UK and European Union.
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£
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Grand Total
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£
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Your Details
Your name:
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Organisation:
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| Delivery address:
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Invoice Address (if different):
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Telephone:
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Fax:
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Email:
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. |
| Licensee name and organisation (displayed
on startup):
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European Union Company VAT (sales tax,
TVA, IVA, MWSt, BTW, FPA, etc) number: |
Payment details
We operate on a payment with order basis.
All payment to Banxia Software must be made in "pounds
sterling". Credit card payment is easiest for foreign purchases-
the currency exchange is handled by the credit card company at the current
exchange rate. Payment for your order must be made at the time of order.
If you require a pro-forma invoice to raise payment, choose the invoice
option below and we will ship when payment is made.
[__] Credit card.
For fastest shipping, use credit card payment. You may prefer
to fax credit card details.
| My card: |
[__] Access / MasterCard. [__] VISA. . [__] Diners Club.
[__] American Express [__] Switch |
Card Number: ______________________________
Expiry: ___________ . . . . (American Express & Switch,
Batch #: __________ )
Signature:
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 |
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[__] Cheque payment.
I enclose my cheque drawn on a British Bank for: (pounds
sterling) £ |
[__] Direct Transfer Payment.
We have arranged for a direct transfer to your bank (email
us for detail). Reference:
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[__] Please Invoice my company and ship when payment is
complete.
Banxia will send an invoice, and will ship the software upon
receipt of payment. Most finance departments can clear cheque with
order payments quickly if you ask them. Your Reference Number: ____________ |
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