To purchase the Internet Space Weather & Radio Propagation Forecasting Course, simply print out and fill out this application page. Then postal mail it to us. This is not a web form. You must print it out using your web browser software and manually fill it out.
I am interested in purchasing the Internet Space Weather and Radio Propagation Forecasting Course, which I understand will be provided to me once I postal mail (or FAX in) this form and payment is received.
NAME:_______________________________________________________
ADDRESS:____________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
TYPE OF COMPUTER AND OPERATING SYSTEM THAT WILL BE USED TO TAKE THIS COURSE:
_____________________________________________________________________________
MY E-MAIL ADDRESS IS:_______________________________________________________
MY BACKUP E-MAIL ADDRESS IS: _______________________________________________
(if available)
MY VOICE TELEPHONE NUMBER IS: ______________________________________________
MY FAX TELEPHONE NUMBER IS: ________________________________________________
I AM INTERESTED IN TAKING THE FOLLOWING COURSE VARIANT:
[ ] - The Full Course WITHOUT the accompanying computer software for $250.00 U.S.
[ ] - The Full Course WITH all accompanying computer software (including SWIM) for $300.00USD
CHOOSE ONE OF THE FOLLOWING:
[ ] - I need the computer software postal mailed to me on CD-ROM to the address written on the *REVERSE* side of this order form for an additional $50.00USD. This includes full shipping and handling.
[ ] - I expect the Solar Terrestrial Dispatch to notify me via e-mail of the Internet procedures to obtain the computer software.
I understand the course requires the Adobe Acrobat Reader software, which I can freely obtain from: http://www.adobe.com
TOTAL AMOUNT INCLUDING ANY ADDITIONAL AMOUNTS REQUESTED FOR
SHIPPING SOFTWARE, ETC, IN UNITED STATES CURRENCY:
$___________.______ U.S. DOLLARS.
SELECT THE PAYMENT METHOD:
[__] - I am paying by check or money order.
I have remitted a check or money order (IN U.S. FUNDS) for the above amount to the "Solar Terrestrial Dispatch" at the following address:
Solar Terrestrial Dispatch
P.O. Box 413
Stirling, Alberta
T0K 2E0
Canada
For Online payments, visit: www.spacew.com/Education
I understand that I will be notified via e-mail of the FTP/WWW and other procedures required to obtain the curriculum and software (if ordered) and read it on my computer. I also understand that there will be no refunds for the course should I be dissatisfied with it or the included software or services.
By signing below, I agree that I will not share copies of this course with any other individual(s) through any means without the expressed permission of the Solar Terrestrial Dispatch. FAILURE TO SIGN AND DATE THIS FORM WILL VOID YOUR APPLICATION.
Date: ___________________, Signed: _________________________________________
Please Print Your Signed Name Here: _________________________________________