ORDER FORM



ORDER FORM

I would like to order the following programs:

|Program |Number of Licenses |Total Cost in US Dollars |

|MSEW(3.0) | | |

|ReSSA(3.0) | | |

|ReSlope(4.0) | | |

|FoSSA(2.0) | | |

|GeoCoPS(3.0) | | |

|Shipping cost via UPS (United Parcel Service Courier): | |

|Get an estimate for your Shipping Cost | |

|Total Order in US Dollars | |

Please select method of payment:

Bank Draft: Check must be drawn on a US bank and in US Dollars.

Wire Transfer in US Dollars: Please contact ADAMA at + (971) 224-4187 or adama@ for more information

Credit card using Visa or MasterCard (Sorry, no other credit card accepted):

Card Number: Expiry date:

CVV (number is on the back of your card):

Name of card holder:

Complete address of card holder:

Signature of card holder (required):

Date:

CUSTOMERS OUTSIDE THE USA PLEASE NOTE:

Duty and Tax Charges (e.g., customs, VAT) are the responsibility of the buyer. ADAMA Engineering is not responsible for duties and taxes.

Delivery address (suitable for courier delivery; not a P.O. Box) and information needed for possible future communication or technical support:

|Name: | |

|Company: | |

|Street: | |

|City: | |

|State/Province: | |

|Zip/Postal Code: | |

|Country: | |

|Telephone: | |

|Fax: | |

|email: | |

The hardware lock device (dongle) enables you to run the software thus constituting a license. Lost dongles will not be replaced. It is recommended to follow a good business practice and insure your license in case it is lost. ADAMA Engineering cannot provide such insurance.

Please contact ADAMA at + (971) 224-4187 or adama@ for more details before placing an order by mail

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