Nevrona Designs Online Order Form

Rave 5.0 BEX (Borland Ed. eXtended)   Price   Qty   Total

NOTE: End User Designer Licenses (EUDL) require an upgrade to Rave 5.0 BEX.

Rave 5.0 DE (Developer Edition)   Price   Qty   Total

Rave 5.0 SE (Standard Edition)   Price   Qty   Total

Rave 5.0 Report Server   Price   Qty   Total

MiraMail 1.0   Price   Qty   Total

Shipping and Totals
Electronic Delivery - No Charge
  (most products are delivered electronically unless otherwise noted)
Postal Priority (U.S. only) $8.00 plus $5.00 for each additional item.
International Global Priority (outside U.S.)
  $15.00 plus $10.00 for each additional item.
Federal Express Overnight (U.S. only)
  $20.00 plus $10.00 for each additional item.
  International Fedex: Contact cust@nevrona.com for a quote
 
Products to Ship (does not include electronic delivery products) 
Shipping Total 
Products Total 
Tax (7.8% for Arizona Residents only) 
Grand Total (shipping + products + tax) 

Method of Payment
Visa   Mastercard   American Express   Discover/Novus   JCB  
Card Number   Expiration Date 
Card Holder 
Billing Address 

(RED denotes required field)
Customer Information
Name

Company

Address



   City

State

Zip

Country
   Phone

Fax

Email
Customer ID#
(e.g. ND0001234)
   Serial # if upgrading
   Discount/Special Offer Code #

Comments
Where did you hear about our product? 


       


Shipping Notes:

  • Shipping information is required in the form above for media and hardcopy documentation.
  • Shipping charges apply for media and hardcopy documentation.

NOTE: This is a secure order form. However, if you would like to use a more traditional method for placing your order, print out this form and fax it to +1-602-296-0189 or mail it to:

Nevrona Designs
1990 N Alma School Rd #307
Chandler, AZ  85224

For purchase orders and quantity discounts call:
U.S. and Canada: 1-888-776-4765
International: +480-491-5492