Payment by credit card for shareware "EpsonMultiUsers9" ------------------------------------------------------------------------------------ Postal courier | Fax | Send this form to: | Send this form to: S.E.S | 1, rue de stockholm | From France: 02 31 14 90 18 75008. Paris | From Foreign: +33 2 3114 9018 FRANCE | ------------------------------------------------------------------------------------ Pricing To use EpsonMultiUsers9, each of your Mac needs a license. Pricing varies by the number of licenses you want to purchase. All updates to newer versions will be free of charge for registered users. Prices inclusive of taxes. Number French of Licenses Francs Euros $USD 1 109 17 16 3 179 27 26 5 259 40 39 10 390 61 59 20 520 82 79 50 669 103 99 ------------------------------------------------------------------------------------ Your order Currency If you reside in France, thank you to pay in French Francs. Euros only for countries of the European community. Dollars US for all other countries. Clients Product Price and Currency ... EpsonMultiUsers9 .................. Total .................. ------------------------------------------------------------------------------------ Your name: ............................................... Your e-mail address: ............................................... Your country: ............................................... Your fax number: ............................................... Your printer model: ............................................... Credit card type (Visa,American Express or Eurocard/Mastercard): ............................................... Your credit card number: ................................... Expiry date: ................................... ------------------------------------------------------------------------------------ Authorization I authorize S.E.S to charge my credit card for (Amount and Currency) ...................................... signature: ------------------------------------------------------------------------------------