aiSee/aiCall Order Form

To print this document, try clicking here or select "File->Print".


Operating system: ________________________

aiSee

   Prof.     ____ copies      at EUR  505.-  (585.80)* each = _________

   Light     ____ copies      at EUR  395.-  (458.20)* each = _________

   Acad.     ____ copies      at EUR  237.-  (274.92)* each = _________

aiSee Site Licenses

   Com 2+    ____ computers   at EUR  296.-  (343.36)* each = _________

   Edu 2+    ____ computers   at EUR  180.-  (208.80)* each = _________

   Com 11+   ____ computers   at EUR  198.-  (229.68)* each = _________

   Edu 11+   ____ computers   at EUR  128.-  (148.48)* each = _________

   Com 101+  ____ computers   at EUR   79.-   (91.64)* each = _________

   Edu 101+  ____ computers   at EUR   69.-   (80.04)* each = _________

Addl. printed manual

   aiSee     ____ copies      at EUR   69.-   (80.04)* each = _________

Addl. CD-ROM & printed manual

   aiSee     ____ copies      at EUR  110.-  (127.60)* each = _________

aiCall for C

   Prof.     ____ copies      at EUR  899.- (1042.84)* each = _________

   Light     ____ copies      at EUR  789.-  (915.24)* each = _________

   Site 2+   ____ users/inst. at EUR  592.-  (686.72)* each = _________

   Site 11+  ____ users/inst. at EUR  395.-  (458.20)* each = _________

aiCall for C16x/ST10

             ____ copies      at EUR 1490.- (1728.40)* each = _________

   Site 2+   ____ users/inst. at EUR 1120.- (1299.20)* each = _________

aiCall for PowerPC

             ____ users/inst. at EUR 1490.- (1728.40)* each = _________

aiCall for HC12

             ____ users/inst. at EUR 1490.- (1728.40)* each = _________

Addl. CD-ROM & printed manual (aiCall)

   C         ____ copies      at EUR  110.-  (127.60)* each = _________

   C16x/ST10 ____ copies      at EUR  110.-  (127.60)* each = _________

   PowerPC   ____ copies      at EUR  110.-  (127.60)* each = _________

   HC12      ____ copies      at EUR  110.-  (127.60)* each = _________

Addl. printed manual (aiCall)

   C         ____ copies      at EUR   89.-  (103.24)* each = _________

   C16x/ST10 ____ copies      at EUR   89.-  (103.24)* each = _________

   PowerPC   ____ copies      at EUR   89.-  (103.24)* each = _________

   HC12      ____ copies      at EUR   89.-  (103.24)* each = _________


=======================================================================


                                         Total payment: _______________

* Purchasers from EU countries:
please note that a surcharge of 19% value-added tax (VAT)
is required (giving the amount in parentheses above). Yet,
if the purchasing institution is VAT-registered, the surcharge
need not be paid. To omit the surcharge, please supply your
VAT-number on the form.


            Purchaser


First name: ______________________________________

 Last name: ______________________________________

     Phone: ______________________________________

       Fax: ______________________________________

     Email: ______________________________________

   Company: ___________________________________________________

   Address: ___________________________________________________

            ___________________________________________________

            ___________________________________________________

VAT-number: ___________________________________________________


      Date: _____________________________


 Signature: ___________________________________________________


How did you
hear about
aiSee?      ___________________________________________________


  Comments: ___________________________________________________

            ___________________________________________________

            ___________________________________________________



Payment by (please tick one):

Credit Card:  ___ MasterCard

              ___ VISA

              ___ American Express

      Other:  ___ SWIFT Bank Transfer, to:
                  Bank 1 Saar, SABA DE 5 S Account # 1934007

              ___ Cheque

              ___ Send us invoice



If paying by credit card, please fill out:


Card # _________________________________   Exp. date _____________

Card Holder's Name _______________________________________________

Card Holder's Address ____________________________________________

                      ____________________________________________

                      ____________________________________________

                      ____________________________________________


Card Holder's Signature __________________________________________


If paying by VISA or MasterCard, please submit
your CVV number (the last 3 digits of the number
in the signature panel of your credit card):     _________________



Please send this order form to

AbsInt Angewandte Informatik GmbH
Science Park 1
66123 Saarbruecken
GERMANY

or fax the form to
+49 681 383 60 20