Fax / Mail Order Form                                                           Page 1 of 1

To: Airborne Software International

Please forward my copy of Flt'nDuty - the Flight and Duty program for Windows.

Name (as on credit card)__________________________________________________________  Title____________ 

Address: ______________________________________________________________________________________

______________________________________________________________________________________________

______________________________________________________________________________________________      

Company Name: ________________________________________________________ 

Position in Company:____________________________________________

Tel No:___________________   Fax No:_____________________  *EMail: __________________________________

Please bill my credit card for the sum below (Please circle).

	1. $AUD300.00  CD version only + p.p. (As per chart) or

For Australian domiciled companies GST of 10% will be added to the above prices

Visa ____ Mastercard ____ Bankcard ____   American Express ____     (Please indicate Card type)

  Card No:  __ __ __ __   \    __ __ __ __   \    __ __ __ __   \    __ __ __ __   \     Expiry Date:____  \   ______ 

Signature: 

Airborne's Fax No: International:  +61 2 9871 7496            From within Australia: 02 9871 7496
Airborne Software International,  P.O.Box 4843, North Rocks, N.S.W.,  Australia  2151