Please use this registration formular only if you are
an european resident !!
If not, please use the program REGISTER


Wispro
Eckl, Herrmann, Weindel GbR
Weiherstr. 31
D-76327 Pfinztal
Germany

Email:          wispro@kagi.com
Fax:            +49 / 721 / 9463122


Qty     Description
-----------------------------------------------------------
___x    Security Manager 1.1.178                   US$_____
          ( ) English     ( ) German
(Prices:  Qty 1     US$ 65.00 (99 DM)
          Qty 2-4   US$ 50.00 (80 DM) each
          Qty 5-9   US$ 45.00 (72 DM) each
          Qty 10-25 US$ 40.00 (65 DM) each)

Tax:                                    15 %       US$_____
(Only German residents and European residents (EU) without tax ID)

Total                                              US$_____


Payment: ( ) Invoice and collection-only check

Tax ID: _______________________ (Only european residensts)


Ship to/Bill to:

Name    : ______________________________________

Company : ______________________________________

Address1: ______________________________________

Zip/City: ______________________________________

Country : ______________________________________ 

E-Mail  : _________________________
(Please provide your E-Mail address for Update-Information)

