JustData
BodhiGold Custom Order Form
Please complete this Order Form and Mail or Fax it to the Address indicated at the end of this form. To ensure a swift processing of your order, please type details in all relevant sections. ( * = Required Fields)
Name Details
*First Name : *Surname :
Address Details
*Number/Street :
 
*Suburb/City :   *State :
 
*PostCode/Zip : *Country :
Contact No.
*Day Phone : Facsimile :
 
*Email Address :
Where did you hear about this software?

What charting software do
you use?


* When entering Phone/Fax numbers please enter the complete International codes and prefixes.
* Note: World Index History and data is included in all Custom Packs.
PRODUCTS - Choose the Annual Managed Data Products you require. All prices are quoted in Australian Dollars (AUD).
+ = $
+ = $
+ = $
+ = $
+ = $
TOTAL DATA PRODUCTS SELECTED = $  
BODHIGOLD (Data Download & Management Software)  ----------------------------------------------------------------> + $      135.00  
HISTORY - Tick the categories you require and choose the amount from this drop-down box: ====>
STOCKS: ASQ ASX HKG KLS LSE NMQ NYQ NZE SES
FUTURES: Sydney Futures Asian Futures USA Futures European Futures
FOREX: Australian $ New Zealand $ Great Britain £ Canada $ Euro € HKD $ YEN ¥ US $
POSTAGE - Select Postage amount: -->
Grand Total (add together the 'TOTAL DATA PRODUCTS' + BODHIGOLD + HISTORY + POSTAGE) =======> = $  
 Paying By Credit Card  If you intend to pay with a Credit Card please complete the section below.
Select Card Type : Card  
Number :
AMEX  
Security Code :
Name on Credit Card : Expiry Date :
Signature on Card :
 
Paying By Cheque/Money Order
Please find attached a Cheque for the Grand Total Amount listed in the Products section of this form.
Mailing Details
Please Mail this completed form, with the Attached Cheque/Bank Draft (if applicable) to the following Address:
or Fax: (07) 3821 1287 (Australia)  |  Fax: + 61 7 3821 1287 (International)
JustData - PO Box 1067
Cleveland QLD 4163  AUSTRALIA