<APPNAME> 1.0 Order Form

<FNAME> <LNAME> <ADDRESS> <ZIP> <CITY> <COUNTRY> 

Lobstersoft
Adrian Grigore
Am Rasen 31
36041 Fulda
Germany
<CITY>,  <DATE>

I would like to order  <NROFCOPIES> license(s) of <APPNAME>. The order fee of <PRICESTRING> <PAYMENTMETHOD> <ANSWERMETHOD>

My address is:
<FNAME> <LNAME>
<ADDRESS>   
<CITY>
<ZIP> <STATE>
<COUNTRY>
Tel: <PHONE>   Fax:<FAX>
Email: <EMAIL>

My comments about <APPNAME>: <COMMENTS>
I heard about <APPNAME> from:  <REFERENCE> <INFO>
Order ID: <ORDERID>

Please submit this form and payment to:
Lobstersoft
Adrian Grigore
Am Rasen 31
36041 Fulda
Germany
FAX: +49/661/3807781
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Please use the following bank account if you intend to pay by wire transfer:: 

Deutsche Bank 24 in Fulda, Germany
Bank Number: 53070024
Account holder: Lobstersoft
Account Number: 064087000
Additional info about the transfer: <APPNAME> <FNAME> <LNAME>
SWIFT code: DEUT DE FF 530