aiSee Order Form

Operating system: ________________________

Single-user packages

   Pro.      ____ copies    at EUR 505.- (585.80)* each = ___________

   Light     ____ copies    at EUR 395.- (458.20)* each = ___________

   Academic  ____ copies    at EUR 237.- (274.92)* each = ___________

Site licenses

   Com 2+    ____ computers at EUR 296.- (343.36)* each = ___________

   Edu 2+    ____ computers at EUR 180.- (208.80)* each = ___________

   Com 11+   ____ computers at EUR 198.- (229.68)* each = ___________

   Edu 11+   ____ computers at EUR 128.- (148.48)* each = ___________

   Com 101+  ____ computers at EUR  79.-  (91.64)* each = ___________

   Edu 101+  ____ computers at EUR  69.-  (80.04)* each = ___________

Addl. CD-ROM & printed manual

             ____ copies    at EUR 110.- (127.60)* each = ___________

Addl. printed manual

             ____ copies    at EUR  69.-  (80.04)* each = ___________

Addl. PDF manual

             ____ copies    at EUR  19.-  (22.04)* each = ___________


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                                     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