NDC Inc

21336 484th Ave
Elkton, SD 57026
www.ndccontrols.com

Ph. 605-542-2421 Fax 605-542-7221

Maximix Feed Management Software
Order Form

Date -

Ship To Address

Please Print

Name:

Company:

Address Line 1:

Address Line 2:

City:

State/Province:

Zip/Postal Code:

Country:

Day Time Phone:

Email Address:

Specify your order (all prices are U.S Dollars).

Products
And Options

Quantity

Licence Price
Each

Total

Maximix Basic

$2500.00

$12.00

Mail the completed form with your payment to the address below.

NDC Inc
ATTN: Software Sales
21336 484th Ave
Elkton, SD 57026 USA

Print and complete this form then mail it using the information provided below.

Optional QuickBooks Interface

10-User NET Key

Full Package With NET Key

add $500.00

add $1000.00

$3750.00 (save $250.00)

Shipping

Total Payment

Tax 4%

Make checks payable to NDC Inc.