Note: Payment may be by check, money order, or institutional purchase order payable to CIOS in United States currency only (drawn on a United States bank). Personal copies of ComIndex (see 3 below) can be paid by credit card.

Section 1:  Complete this section only if you are ordering a
department license or a library license.


Name of dept./library contact:     ________________________________

Email address:          ______________________________

Mailing address:        ______________________________
                        ______________________________
                        ______________________________
                        ______________________________
Phone number:           ______________________________


With a standing order, updates are provided automatically.
Check here for standing order:  __________ and attach instructions
for billing.


Charges:
___________  Department or five system (library) ComIndex
             license @ $340.00
___________  Additional ComIndex licenses @ $50.00 per computer (library)
___________  Add sales tax if appropriate
___________  Total


Section 2:  Complete this section only if you are ordering an
institution-wide license.


Name of dept./library contact:     ________________________________

Email address:          ______________________________

Mailing address:        ______________________________
                        ______________________________
                        ______________________________
                        ______________________________
Phone number:           ______________________________


With a standing order, updates are automatically shipped and
invoiced each year.
Check here for standing order:  __________ and attach instructions
for billing.

Charges:
___________  Institution-wide ComIndex license @ $1,000.00
___________  Add sales tax if appropriate
___________  Total



Section 3:  Complete this section if you are ordering one copy of
ComIndex for personal use.

Name:                   ______________________________

Mailing address:        ______________________________
                        ______________________________
                        ______________________________
                        ______________________________

Email address:          ______________________________

Phone number:           ______________________________

Charges:

_______ ComIndex system @ $50.00 per copy
_______ Add sales tax if appropriate
_______ Total

The CIOS can accept credit card payment for copies of ComIndex for
personal use.

Card type (circle one):  Visa  Mastercard  Discover Card  American Express

Card number:    _______________________________________

Expiration:     ____________

Signature:      _______________________________________

    For credit card payment, print this form and fax to 518-887-5186.
You will receive a registration key and download instructions by
email.