ORDER FORM To: Helge Hackbarth Fax: +49 1803 551884339 Hellgrund 84 D-22880 Wedel (Germany) Please send me ___ licenses TIFFY View Java Edition for a price of EUR _____ (Single license EUR 25; multi user licenses please see file Tiffy.html) ___ Developer licenses TIFFY Toolkit for Java, price EUR _____ (Single developer license EUR 350) ___ Royalty Free / Server licenses TIFFY Toolkit for Java, price EUR _____ (Royalty free / server license EUR 1500) GERMAN CUSTOMERS: Please add 19% VAT Payments are currently only accepted as cheques drawn on a German bank (in Europe: use Eurocheques) or as international money order. Payment must be in Euro. Alternatively you may order the products online with a secure credit card transaction. Please see Tiffy.html Companies or public organisations can order the program using this order form and will receive an invoice to be paid after goods receipt. Please send this written form to the address given above or fax it to +49 1803 551884339. Payment wil be done by __ Money order __ EC-cheque __ postal order Name: ______________________________________________ Organisation: ______________________________________________ Address 1: ______________________________________________ Address 2: ______________________________________________ ZIP code, city: ______________________________________________ State: ______________________________________________ Country: ______________________________________________ VAT-ID: __________________ (members of the European Community) Telephone: _____________________ Fax: __________________ eMail: ______________________________________________ Date, signature: __________________________________________ How did you find TIFFY? ______________________________________ ______________________________________________________________