PrimeMover Order Form

To Purchase your PrimeMover software please fill out this order form.
The software will be posted to you with a tax invoice enclosed.
Please include all details including your email address in case we need to contact you.

Please provide the following information:

	Name & Contact Details
*First Name
*Last Name
Title
*Phone
Fax
*E-mail
Website
	Shipping & Billing Address
Organization
Street
City	State Post Code
Australia	(contact us for purchases outside Australia)

License Price Structure (including GST)
1 license only	$99
2 - 25	$77 each
26 - 50	$66 each
51 - 100	$55 each
101 - 250	$44 each
251 - 500	$33 each
500 plus	$22 each

Please provide the number of licenses you require in the box marked 'Quantity'
Use the 'Calculate' button to show the Total price (incl. GST and postage)

Quantity	Description	Unit Price	P&Pack	Total
*	PrimeMover Licenses (incl. CD)		+ $11
	Extra Software CD's	(no charge)
	Extra Exercise Picture Sheets	(no charge)

Have any questions? Contact us or call on (+61) 03 9598 3000
* required information, however we need all the information entered to complete your order