Green Mountain Computing Systems, Inc. ORDER FORM
P.O. Box 275, 1070 W. Main St., Richmond, VT 05477 Fax: (802) 434-5071
Name _________________________________________________________________
Address ______________________________________________________________
Address ______________________________________________________________
City ______________________________ State ____________________________
Zip Code ____________________ Country ________________________________
E-mail Address _______________________________________________________
Telephone # __________________________________________________________
Item Description Unit Price Quantity Item Total
VHDL Studio
Windows, 6 months* US $435 _______ _________
Windows, STUDENT, 6 months* US $145 _______ _________
(Attach photocopy of valid student ID).
SUBTOTAL _________
Total Shipping
SHIPPING METHOD Unit Price Quantity Total
o Download US $0
TOTAL CHARGES
TOTAL _________
PAYMENT METHOD:
[ ] Check or Money Order Enclosed
[ ] Charge to the following: [ ] Visa [ ] MasterCard
Card Number: ___________________________ Expiration: ___/___
Name on Card: ___________________________ Signature: _____________________
Card holder address: _____________________________________________________
(If different)
* This is a time-based license (1 month = 30 days). You are purchasing a
license to use the software only for the indicated duration. If not renewed,
the software will cease to function at the end of the license period.
* Prices are subject to change without notice.