Order form for WAVmaker Studio ============================== Program number: 101979 Price: $99 Last name: __________________________________________________________ First name: _________________________________________________________ Company: ____________________________________________________________ Street and number: __________________________________________________ City: _______________________________________________________________ State: ______________________________________________________________ Postal code: ________________________________________________________ Country: ____________________________________________________________ Phone: ______________________________________________________________ Fax: ________________________________________________________________ E-Mail: _____________________________________________________________ The GSound 44 CD-ROM will be sent to you by postal mail. How would you like to receive your Mellosoftron and Acid WAV keys? [ ] By e-mail [ ] By postal mail Payment method: [ ] Credit card [ ] Bank wire [ ] EuroCheque (DM-denominated only - send to European address) [ ] US check (send to US address) [ ] Cash (US dollars) --- If you select "Bank wire", your order will be processed when the payment is received at the following account: Account holder: element 5 AG Bank: Postbank Koeln, Germany Bank number: 370 100 50 Account number: 692 77-506 --- Credit card information (if applicable) Credit card: [ ] Visa [ ] Mastercard / Eurocard [ ] American Express [ ] Diners Club Card holder: ________________________________________________________ Card number: ________________________________________________________ Date of Expiration : ________________________________________________ --- Date / Signature ____________________________________________________