MyHorseRaces trademark My HorseRaces®

Wayne Mayo
My HorseRaces Developer
PO Box 3160
WESTON CREEK ACT 2611
Australia
Facsimile: +61 2 6288 0781
ABN:12 529 591 778

                    

Order Form for My HorseRaces 2.5

Please provide the following information

First name:   *     Last name:   *

Organisation's name (if applicable):

                                                                                      Fields with asterisks ( * ) are mandatory
Postal address:
  *

Telephone no:      Facsimile no:

E-mail:
  * for telegraphic transfer
To receive confirmation of your order and possible future updates

Licence agreement:
Will you agree to the licence agreement as you install My HorseRaces? yes     no   *

Payment method  *

Cash on delivery (Australian purchasers)                               $395    

Australian cheque (Australian purchasers)                             $395    

Money order (Australian or international purchasers)             $395AUD    

Telegraphic transfer (Australian or international purchasers)   $395AUD    

PayPal (Thank you for payment already made )      

Any comments/special requirements?