Vensim® 5 Academic Order Form

Academic pricing is available only to students and faculty of accredited educational institutions. The software may only be used for educational purposes. You will need to sign the educational acknowledgement below to have your order processed (to get Vensim PLE go to Free Downloads).


Price Maintenance Renewal Upgrade from earlier releases
DSS $795 $200/year $650
Professional $495 $150/year $400
PLE Plus $89 $49 $49

Notes: Prices include 1 year of maintenance. Documentation is electronic. Upgrades and Maintenance as well as new licenses can be purchased online; you will need to obtain a discount code before you check out. Maintenance entitles you to electronic upgrades and technical support and will be extended from the current expiration date (one year of maintenance is included in the initial purchase). Maintenance may be extended up to 18 months into the future. If maintenance has lapsed for more than 6 months there is a 50% discount on prior periods required to make maintenance current. Please contact our international representatives for sales to China, Egypt & The Middle East, France, Germany, Japan, Korea, Mexico and the United Kingdom.

Name __________________________________________________

Affiliation_______________________________________________

Address_________________________________________________

________________________________________________________

City _______________________________ State ________________

Zip/Postal _________________ Country_____________________

Phone (______)_______________ Fax (______)_________________

Email _____________________________

If this is a maintenance order please include 4 or 7 digit serial number _________________

All licenses are delivered electornically. If you are requesting a backup installation CD there is a $15 handling charge. One CD will be provided for each license ordered (up to 5).

Product Name (fill in) Quantity Price (fill in) Item Total


@


@
Backup Installation CDs
@ $15
Subtotal


MA Sales tax see notes 0.0625 * subtotal
Total Cost



NOTE: Sales tax is for Massachusetts addresses only. International orders do not pay sales tax.
Shipping Notes: If a backup installation CD is ordered it will be sent by air mail.

__Payment enclosed (US funds drawn on a US bank payable to Ventana Systems, Inc.)
__Purchase Order Attached (US and Canadian Corporations only)
__Direct wire transfer (net of bank charges) — please contact us for details.

Credit Card __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Exp. ___ / ____ __Visa __MasterCard __AmExp

Signature________________________________________________________

Name on card_____________________________________

Billing address if different from above______________________________________________________



Educational Discount Policy - Please Complete
In support of education Ventana Systems, Inc. provides a restricted and non-transferable license for Vensim at a reduced fee. Please read this carefully then complete, sign and date this form. Vensim will not be shipped until this form is received.

Name ________________________________________________________________________

Institution ____________________________________________________________________

Position______________________________________________________________________

Intended use of Vensim__________________________________________________________ _____________________________________________________________________________

I certify that the above is true and that: (a) I am a (i) an authorized purchasing agent of a school, college or university licensed by an appropriate state authority, whose primary purpose is to provide instruction to an enrolled body of students (an "Eligible Institution") or (ii) a student at an Eligible Institution or (iii) a faculty member at an Eligible Institution, and (b) the use of the Software will conform to the following restrictions: (i) the Software will not be used for non-educational or commercial purposes or in the provision of consulting services for compensation, (ii) all course materials developed using the Software will be made available to students at the Eligible Institution, (iii) all use of the Software will conform to the standards of educational use at the Eligible Institution, (iv) all results of all research conducted using the Software will be published or otherwise made publicly available, and (v) the Software not be used on work that is classified, proprietary or restricted in any way. Note that research being substantially conducted by a student in order to complete a course or degree requirement and that is in conformance with (iii) is exempt from (iv) and (v).

Signed _________________________________ Date: ________________________ .

Fax this form to 508 650 5422 or mail it to: Ventana Systems, Inc., 60 Jacob Gates Road. Harvard, MA 01451 (Telephone 508 651 0432).

Sending credit card information via email is not recommended.