Software Order Form

* Language of correspondance English Français

* Last Name:
* First Name:

Employee Professor Student Other

Employee (last 6 digits of employee number)/Student Number: (required for Netscape Calendar)

* E-mail address:       
Mailing Address:          
Room Number:            
* Telephone Number: Extension:
Department:                  

* indicates required field

Software to Order:

Please indicate the following information below:

The operating system you are using:

Windows Vista
Windows XP
Windows 2000
Windows ME
Windows NT 4.0
Windows 95
Windows 98
Windows v3.x
Macintosh
Other

Method of Payment:

* E-mail address of person authorizing:      
Name of person authorizing purchase:              
Extension of person authorizing purchase: