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Round Robin Scheduler 4.0 Order Form
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Please fill out this form, print it, and send it along
with your check or money order in US FUNDS ONLY
made payable to Galactix Software at:

	Galactix Software
	PMB 481
	11410 NE 124th St
	Kirkland, WA. 98034-4399

___________________________________________________
Please provide the following contact information:


Name:		___________________________________
Title:		___________________________________
Organization:	___________________________________
Daytime Phone:	___________________________________
Fax:		___________________________________
E-mail Address:	___________________________________


Please provide the following shipping information:


Street Address:	___________________________________
City:		___________________________________
State/Province:	___________________________________
Zip/Postal code:___________________________________
Country:	___________________________________


Please provide the following ordering information:


Price Per Copy: $69.00
Quantity:	___________
Tax:		___________ (WA residents add 8.6% sales tax)
Subtotal:	___________

Shipping and Handling charges:
	Place an X in the ( ) below to choose how we
	should send the software to you. If you don't
	choose a method, we will send the registration
	codes by email.

	( ) - Send registration codes by email (No charge)
	( ) - Send Via US Mail
		US: $10.00 S/H

S/H Charges: 	___________
Total Amout Due:___________

Payment Method:
	Place an X in the ( ) below to choose how we
	should bill you.

	( ) - Credit Card
		Type:	________________________________
		Number:	________________________________
		Exp:	____/_____
	( ) - Enclosed Check or Money Order



Signature:	_____________________________________
Date:		____/____/____

________________________________________________________

All orders are usually shipped within 2 business days.
For order inquiries, please contact us at:

E-mail: 	sales@galactix.com
Phone:		(425) 605-0684
FAX: 		(208) 988-7494
Web:		http://www.galactix.com

Thank you for your order!