			IX2D-GM Order Form

If you have obtained this demo from an Agent of Interpex Limited, 
please contact your agent to purchase this software.

IX2D-GM is copy protected. The license requires a USB hardware
key which will be sent with a CD-ROM by UPS or DHL courier.

Please type in the following information, then e-mail, FAX or mail form via post and wait for invoice to be sent by e-mail. Fastest service is by e-mail with e-mail invoice:

Full Name : __________________________________________________
                   (first, middle initial & last)
Address: 
	   _____________________________________________________

	   _____________________________________________________
       
	   _____________________________________________________

	   _____________________________________________________

Country:   _____________________________________________________

E-mail address:   ______________________________________________

[Telephone (with Area Code)]:     ________________________________

Version you are using: v (e.g. 1.02)	 _________

IX2D-GM license:                          US$ 1,499
Shipping Charge (In USA $25, 
Canada/Mexico $60, Elsewhere $90)         US$ __________
Total Payment Due:                        US$ __________

Purchase Order Number for Invoice (optional): ___________

Payment by:
	[ ] e-mail invoice for payment on line (we will e-mail back an
         invoice with secure payment button).
	[ ] Check/money order enclosed (payable to Interpex Limited)
	[ ] wire transfer (extra $30 fee applies)

[Comments/Suggestions]:  _____________________________________________________


_____________________________________________________

Please mail this form to the address below or send by e-mail to sales@interpex.com.  Thank you for registering!

	Interpex Limited	 	     FAX: (303) 278-4007
	P.O. Box 839	 		www.interpex.com
	Golden, CO 80401-0839 USA  sales@interpex.com