If you are ordering on-line, disregard the form below and use the Paypal buttons (below) instead.

STD SWIM
(Space Weather Information Monitor)
Software Order Form

Send or FAX this Form to:

Solar Terrestrial Dispatch
P.O. Box 413
Stirling, Alberta
T0K 2E0
Canada

SHIPPING INFORMATION

(Please Print Clearly)

Name: ____________________________________________________________

Address: ___________________________________________________________

               ___________________________________________________________

               ___________________________________________________________

               ___________________________________________________________

               ___________________________________________________________

Phone: ____________________________   FAX: __________________________

E-Mail Address: _____________________________________________________

Computer System: ____________________________________________________

NUMBER OF COPIES REQUIRED

I require : _________ copies of STD SWIM.

PLEASE CLEARLY *CIRCLE* THE PRODUCT DESIRED IN THE TABLE

STD SWIM (does not include Database) shipped via the Internet	STD SWIM (includes SWIM Plot Database) on CD-ROM
$85 USD (Regular: $150)	$100 USD (Regular: $175)

We will provide simple e-mailed instructions for obtaining and installing the software over the Internet.
Or, order the software on CD-ROM.
(Upgrades are not covered by this offer. Only new purchasers qualify.)

ORDER TOTAL

TOTAL AMOUNT OF THIS ORDER: $______________ U.S. dollars.

I AM PAYING FOR THIS ORDER BY:

[__] - Check or Money Order in United States Currency Only.

Please ship me the STD Space Weather Information Monitor software by e-mailing me the necessary instructions to obtain and install the software from the Internet or by shipping me the CDROM, as I have requested.

Date: ______________________   Signed: _________________________________________

Please Print Your Signed Name Here: _____________________________________________