KR▄GER
Softwareentwicklung
Software Order Fax Form
+49 (211) 213 129
100024.1403@compuserve.com
Order Fax Form
Simply print this form, complete all the items below and fax or email it to above mentioned number.
Select one of the following items
____ | Backgammon
fⁿr Windows CE Play the Game of Kings |
US$ 22,90 | |||
____ | Solitary
fⁿr Windows CE The ultimative Brain Twister |
US$ 9,95 | |||
____ | Abacus
XT fⁿr Windows CE The Financial and Science Calculator for all your Needs |
US$ 27,90 | |||
|
_____________ |
Adress
First Name | __________________________________________ |
Last Name | __________________________________________ |
Company | __________________________________________ |
Street | __________________________________________ |
Zip Code/City | ________/__________________________________ |
Phone Number | __________________________________________ |
Fax Number | __________________________________________ |
__________________________________________ | |
Delivery Mode: |
Credit Card Information
We accept: Visa, EuroCard/MasterCard and American Express.
Please check the type of credit card you will be using:
____ EuroCard/MasterCard ____ Visa ____ American Express
Credit Card Number: ________ ________ ________ ________ (16-digits)
Valid thru: _____/_____