Green Mountain Computing Systems, Inc. ORDER FORM
83 River Road Apt. C
Essex Junction, VT 05452
Fax: (802) 872-9781
SHIPPING ADDRESS:
Name _________________________________________________________________
Address ______________________________________________________________
Address ______________________________________________________________
City ______________________________ State ____________________________
Zip Code ____________________ Country ________________________________
E-mail Address _______________________________________________________
Telephone # __________________________________________________________
ORDER INFORMATION:
Item Description Unit Price Quantity Item Total
GM VHDL Compiler -
LINUX, SINGLE user, PROFESSIONAL Edition US $595 _______ _________
LINUX, FIVE pack, PROFESSIONAL Edition US $2085 _______ _________
LINUX, SINGLE user, EDUCATIONAL Edition US $169 _______ _________
LINUX, FIVE pack, EDUCATIONAL Edition US $695 _______ _________
DOS, SINGLE user, EDUCATIONAL Edition US $139 _______ _________
SHIPPING CHARGES:
Total Shipping
Shipping Method Unit Price Quantity Total
o U.S. Mail (U.S. only) US $4 _______ _______
o Federal Express Overnight US $12 _______ _______
(Continental U.S. only)
o Air Mail US $6 _______ _______
TOTAL CHARGES:
SUBTOTAL _______
TOTAL _______
PAYMENT METHOD:
[ ] Check or Money Order Enclosed
[ ] Charge to the following: [ ] Visa [ ] MasterCard
Card Number: ___________________________ Expiration: ___/___
Name on Card: ___________________________ Signature: _____________________
* Prices are subject to change without notice.