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Student/Teacher Order Form - US, Canada, Australia, and New Zealand

STUDENT AND FACULTY PRODUCTS (Proof of student or faculty status required.)	PRICE US$	QTY	TOTAL
Rhino 5 - educational single user	138.99
Rhino 5 upgrade from 1.x, 2.0, 3.0 or 4.0 - educational single user	88.99
Flamingo nXt - educational single user license	144.88
Flamingo nXt Upgrade - educational single user license	80.74
Penguin 2.0 - educational single user license	88.99
Bongo 1.0 - educational single user license	141.99
Brazil - educational single user license - Includes a CD	165.70
SPECIAL BUNDLES
Rhino/Flamingo/Penguin/Bongo Bundle - educational single user **(Save $$$$) Rhino modeling with rendering and animation**	449.99
Visual Tips 5 includes Savanna3D - over 1,000 Rhino models	93.98
Sales tax (FL 7.5%, others exempt) and freight charges will be added TOTAL			____________
SHIP TO:
Name:
Company:
Address (no PO boxes):
City, State, Postal/Zip:		Country:
Phone:	Fax:
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PAYMENT: [ ] VISA [ ] MasterCard [ ] Discover 4% handling fee will be added to credit card orders
Card Number:	V-code:*
Name:	Expires:
Signature:	Date:
To order educational versions, proof of status is required. Students If you are a student with an acceptable form of academic ID at a primary school, secondary school, college, university, or career state-accredited school, you qualify to order a single‑user educational license. Provide one of the following with your order: Dated student ID card Dated, current class schedule Faculty/Staff If you are a member of the faculty or staff with an acceptable form of academic ID at a primary school, secondary school, college, university, or career state-accredited school, you qualify to order a single-user educational license. Provide one of the following with your order: Dated faculty/staff ID card Recent faculty/staff pay stub Schools Any government accredited school can order single‑user educational licenses or lab licenses on a school purchase order or procurement card.

Mail completed form to: Omnimedia 414 NW Knights Ave Lake City FL 32055-7247

Fax to (610) 602-4823

or e-mail to customerservice@micropace.com

* Bankcard Verification Code

Your verification code is located on the back of your card. It is a three digit, non-embossed number printed on the signature panel immediately following your account number. If there are more than three digits in the number, the card verification code is the rightmost three digits.

Bankcard Verification Code

Student/Teacher Order Form - US, Canada, Australia, and New Zealand

Students

Faculty/Staff

Schools

* Bankcard Verification Code