Order Form for Brisbane Timeline

To obtain your username and password to the Timeline Database, your copy of the Manual, and a copy of the Workbook if required, please fill in, print out and mail this form with payment to:

Brisbane History Group Treasurer
PO Box 12, Kelvin Grove DC, Qld 4059 Australia
Your Details
First Name:
Last Name:
Institution:
Address:
Postcode: Country:
Phone:
Email:
User Type:
 Single-user (personal use)  Multi-user (groups and institutions)
   
Payment Options
Payment Type: Cheque/Money Order Cash (enclosed) Account (business)
NOTE: Made payable to "Brisbane History Group"
   
Product information
Product Type
1. Website access + Manual for single-user (one user at a time) $25
2. Website access + Manual for multi-users (three users at a time) $75
3. Website access + Manual + Workbook for single-user (one user at a time) $45
4. Website access + Manual + Workbook for multi-users (three users at a time) $95
5. Manual + Workbook without Website access $30
+ Postage & Handling for Product 1 or 2 $3
+ Postage & Handling for Product 3, 4 or 5 $10

Total in Australian dollars ($AUD):
$
Agreement

I/We agree to the "Conditions of Use" which are displayed at first Login.

A username plus password is provided by the BHG by return mail on receipt of a completed Order Form. This gives right of access to one person or family household as a single-user and to larger groups or institutions such as libraries, schools, colleges, associations, departments and businesses as multi-users.

A completed order form, with a personal or official signature, is assumed to indicate agreement with the above conditions of use for which this Timeline is supplied.

Signature:

Date: