ORDER FORM - BACKUPXPRESS PRO V2.72 =================================== If you want to pay with creditcard please enter this URL into your web browser: http://shareit1.element-5.de/programs.html?productid=104199&language=English For payment with Scheck, Cash or Remit, fill out this form and send it to the postal address below or by Fax to (0049)721-151 27 27 44 or by email to "order@xpertdesign.de" Xpert-Design Software Andreas Spang Eppaner Str.4a 86356 Neusaess Germany ========================================================== Date: _______________________________________________ Name: _______________________________________________ Company: _____________________________________________ Street: _____________________________________________ Zip/City: ________________ Country: _________________ Phone: _____________________ FAX: _________________ Email: ______________________________________________ Single-User Home _______ x   US$/EUR 29,- = _______ Single-User _______ x   US$/EUR 35,- = _______ 5 User _______ x   US$/EUR 149,- = _______ 10 User _______ x   US$/EUR 275,- = _______ Site-License A _______ x   US$/EUR 445,- = _______ Site-License B _______ x   US$/EUR 899,- = _______ If you want to receive the key + US$/EUR 3,- = _______ by postal mail !! Banking fee for check when !! + US$/EUR 10,- = _______ !! not drawn on a german bank !! Total payment = _______ Whats is your mode of payment? [ ] Check / Cash Check has to be drawn on a german bank. [ ] Remit, Transfer Bank name: Advance Bank AG Bank address: Postbox 200313; 80003 Munich; Germany Account owner: Andreas Spang Bank-code no.: 702 300 00 Account no.: 2001770409 Swift code: HA LA DE HH ; Hamburgische Landesbank ; Bank-code no. 200 500 00 Email: info@advance-bank.de Comment or suggestions? ___________________________________________________________