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
       
   
All prices excl. S+H Total
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Adress

First Name __________________________________________
Last Name __________________________________________
Company __________________________________________
Street __________________________________________
Zip Code/City ________/__________________________________
Phone Number __________________________________________
Fax Number __________________________________________
Email __________________________________________
Delivery Mode:

via Post Email (please check)

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: _____/_____