ModelKinetix - ModelManager and ModelMaker

Purchase Order Form

Please complete the form below to place an order for ModelKinetix products.
Orders may also be placed by faxing or e-mailing a purchase order (or similar document for personal orders) to:

ModelKinetix Fax [+44 (0)8702 417023].
Prices and ordering information for multiple copies of ModelMaker (orders of 5 or more copies) products and for ModelManager can also be obtained by completing this form. Indicate your needs in the "Special Instructions" field and we will get back to you.
Fields marked with an "*" are required fields - orders can not be processed if they are left blank.

Your Contact Details

If you are ordering by credit card, please provide the name used on the credit card and the billing address of the card in making your order.

Full Name: *

Organisation: *

E-mail Address: *

Telephone Number: *

Address Line 1: *

Address Line 2:

City: *

State or County: *

Country: *

ZIP / Post Code: *

Your Requirements

Please use this section for simple, single product orders. Please use the "Special Instructions" field to detail more complex orders.

Electronic licenses for students allow student users to download the demo and manuals from the web site. These are then licensed by provision of activation codes only. No box, manual or CD is shipped to the student user.

All orders attract a shipping charge of £12.50 in the UK, $37.50 to the USA, €37.50 in the European Union and postage on application to the rest of the world.

ModelManager is sold on an annual licensing basis.

ModelKinetix Product *

Number of Units *

Special Instructions

Delivery Instructions

Please complete this section if your delivery address details differ from your billing address above.

Full Name:

Organisation:

Address Line 1:

Address Line 2:

City:

State or County:

Country:

ZIP / Post Code:

Payment Method

In order to protect your credit card security, ModelKinetix does not accept payment on-line for its products and services. We accept credit card payment, but request that you forward your card details to us by fax. Print this form, adding the full card number and valid from and valid to / expiry dates on the card in the "Additional Details" field below. Fax the printed order to ModelKinetix at [+44 (0)8702 417023].

Pre-payment is required for all overseas orders received from outside the European Union and North America.

If your company is based in the European Union, please supply your Sales Tax number.

Payment can be accepted by cheque, bank credit transfer or credit card. (AMEX not accepted).

Banking details for credit transfer will be released on receipt of a purchase order (this form).

NB: please enter your institutional purchase order number into the "Additional Details" space provided below.

Payment Method *

Additional Details Your Purchase Order Number (if required): ------------------------------------- Card Holder Name: Card Billing Address: Card Number: Card Valid From: Card Expiry Date: Card Security code (3/4 digits on reverse of card): ------------------------------------- Sales Tax Number (EU only): Fax Number:

ModelKinetix is a trade name of FamilyGenetix, managed by AP Benson.
© FamilyGenetix 2001-2003