Purchase Order



Operating system: ________________________

aiSee

   Prof.     ____ copies      at EUR  505.-  (656.50)* each = _________

   Light     ____ copies      at EUR  395.-  (513.50)* each = _________

   Acad.     ____ copies      at EUR  237.-  (308.10)* each = _________

aiSee Site Licenses

   Com 2+    ____ computers   at EUR  296.-  (384.80)* each = _________

   Edu 2+    ____ computers   at EUR  180.-  (234.00)* each = _________

   Com 11+   ____ computers   at EUR  198.-  (257.40)* each = _________

   Edu 11+   ____ computers   at EUR  128.-  (166.40)* each = _________

   Com 101+  ____ computers   at EUR   79.-  (102.70)* each = _________

   Edu 101+  ____ computers   at EUR   69.-   (89.70)* each = _________

Addl. PDF manual

   aiSee     ____ copies      at EUR   29.-   (37.70)* each = _________

Addl. printed manual

   aiSee     ____ copies      at EUR   69.-   (89.70)* each = _________

Addl. CD-ROM & printed manual

   aiSee     ____ copies      at EUR  110.-  (143.00)* each = _________

aiCall for C

   Prof.     ____ copies      at EUR  899.- (1042.84)* each = _________

   Light     ____ copies      at EUR  789.-  (915.24)* each = _________

   Site 2+   ____ users/inst. at EUR  592.-  (686.72)* each = _________

   Site 11+  ____ users/inst. at EUR  395.-  (458.20)* each = _________


=======================================================================


                                         Total payment: _______________

* Purchasers from EU countries:

Please note that a surcharge of 19% value-added tax (VAT) is required
(giving the amount in parentheses above). However, if the purchasing
institution is VAT-registered, the surcharge need not be paid. To omit
the surcharge, please supply your VAT-number on the form.

Billing info

First name: ______________________________________

 Last name: ______________________________________

     Phone: ______________________________________

       Fax: ______________________________________

     Email: ______________________________________

   Company: ___________________________________________________

   Address: ___________________________________________________

            ___________________________________________________

            ___________________________________________________

VAT-number: ___________________________________________________


      Date: _____________________________


 Signature: ___________________________________________________


  Comments: ___________________________________________________

            ___________________________________________________

            ___________________________________________________

Shipping info (if different)

First name: ______________________________________

 Last name: ______________________________________

     Phone: ______________________________________

       Fax: ______________________________________

     Email: ______________________________________

   Company: ___________________________________________________

   Address: ___________________________________________________

            ___________________________________________________

            ___________________________________________________

Payment by (please tick one):

Credit Card:  ___ MasterCard

              ___ VISA

              ___ American Express

      Other:  ___ SWIFT Bank Transfer, to:
                  Bank 1 Saar, SABA DE 5 S Account # 1934007

              ___ Cheque

              ___ Send us invoice


If paying by credit card, please fill out:


Card # _________________________________   Exp. date _____________

Card Holder’s Name _______________________________________________

Card Holder’s Address ____________________________________________

                      ____________________________________________

                      ____________________________________________

                      ____________________________________________


Card Holder’s Signature __________________________________________


If paying by VISA or MasterCard, please submit
your CVV number (the last 3 digits of the number
in the signature panel of your credit card):     _________________

Please print out this form and send your order to

AbsInt Angewandte Informatik GmbH
Science Park 1
66123 Saarbruecken
GERMANY

or fax it to

+49 681 383 60 20