Fill out this order form and send it to:
International customers only!
German customers please use ORDERGER.TXT!


  TGB
  Thomas Botta
  Huehlenstr. 29
  D-89415 Lauingen
  GERMANY

       Fax: 0049-9072-91962
       CIS: [100020,1721]
  Internet: 100020.1721@COMPUSERVE.COM



   Name: ____________________________           Phone: __________________
 

Company: ____________________________             Fax: __________________


 Street: ____________________________           EMAIL: __________________


   City: ____________________________ ZIP/Postal Code: __________________


Country: ____________________________


                                O R D E R


  Product:

 [ ] Report Generator Single for Server with                   $99.99

     serial number ______________ This version
     only runs on the server with that serial number!


 [ ] Report Generator Unlimited                                $264.99
     This version runs on any server!


  Shipping:

 [ ] Ship via EMAIL to the address shown above                    free

 [ ] Ship via mail -> shipping and handling                         $9


  Pay via:

 [ ] Creditcard -  VISA / MasterCard: ______ ______ ______ ______


                             Expires: ___ / ___


                         Card holder: ___________________________




 ______________________________________________________________________
   Date                  Your sign              Card holder sign (if
                                                different from customer)


   (No order processing without your sign here!)



