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Purchase Galaxy

 
 

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My Information
   

Buyer Name:

   
Company Name:
 
Please Identify your Company's Industry:
 
Please Select your Primary Job Role:
  

Please Select your Title:

 

Galaxy Information

Release/Edition:

Galaxy 3.0 Local

Galaxy 3.0 Global

Galaxy 4.0 Initial

Galaxy 4.0 Management

Galaxy 4.0 Process

Galaxy 4.0 Measurement

Galaxy 4.0 Machine

Version:

C  

C++

Operating System and
Operating System version:

 

Compiler and Compiler version:

 
Observations: (Optional - examples: Compiled with X11R6; include +eh option, etc.)
Number of licenses:
License distribution in network or domain: (example: 2 licenses in same domain, 1 license in other domain):
   
Shipping Information
   

Shipping address (Line 1):

Shipping address (Line 2):

City:

Province/Region/State:

Postal/Zip Code:

Country:

Ship to the attention of:

Billing Information
   
Billing process:
I first need a quote

I first need an invoice
Billing address:
Same as the shipping address

Other than the shipping address, and is provided below

Billing address, if other than the shipping address (Line 1):

Billing address, if other than the shipping address (Line 2):

City:

Province/Region/State:

Postal/Zip Code:

Country:

E-mail to contact you:
   
Additional Information
   
What is the Project in which Galaxy will be used? (Optional):

What does such Project represent into your Company Business? (Optional):

 
 

 

 
 
   
   
   
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