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ISLAB2000 O RDER FORM

Software for Analysis of Pavement Structures

ACQUISITION AUTHORITY

ORDERING AND USE COMMITMENT

Name
Title
Organization
Address

I have read the ISLAB2000 Licensing Agreement and accept the


terms and conditions stated therein. I hereby place an order with
Applied Research Associates, Inc., ERES Consultants Division for
the ISLAB2000 computer program, as described in the Licensing
Agreement.

City/State/Zip
Phone
Fax
Email

Signature
Date

LICENSING OPTION

P AYMENT

Which licensing fee option are you requesting?


One-time fee option
Annual-fee option

ISLAB2000 will be shipped at no charge by UPS Ground. If


you prefer other shipping methods, please call before sending
payment. **For International and Canadian orders, consignee
pays all shipping charges, duty, and V.A.T.

What licensing option are you requesting?


Standard
Government Agency (DOT)
Educational
What type of license are you requesting?
Single
Network (specify number of users/licenses _____)
Unlimited

SHIPPING
Please ship ISLAB2000 to the following individual (if same as
licensee, write same in the name line):
Name
Title
Organization
Shipping Address

Payment method
Check (payable to ARA, Inc., ERES Division)
Money order (payable to ARA, Inc., ERES Division)
Credit card (MasterCard/VISA only)
Credit card number
Expiration date
Total
1. Software fee:
2. International shipping costs:
3. Subtotal (line 1 + 2):
4. Sales tax (7.50% of line 5):
(Illinois organizations only)
5. Total cost (line 3 + 4):

Submit order form, with payment, to:


ISLAB 2000 Sales
Applied Research Associates,
ERES Consultants Division
505 West University Ave.
Champaign, IL 61820-3915
Phone 217 356-4500 Fax 217 356-3088

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