Order

(Please fill out this form and send it to:)

TGB - Thomas Botta, Akazienstr. 16, D-89415 Lauingen, Germany

Tel.: +49 9072 91960, Fax.: +49 9072 91962

Email: order@tgbsw.de
Company:
Contact:
Street:
Postal code and City:
Land:
Phone:
Fax:
Email:
Ust. ID/VAT No.

I/we order the following products:

(EG customers please provice your VAT number!)
Quantity Product

I wish to receive a disk with my licensed copy of Report Generator (additional to receive the license key via email) DM 9,-

License name:

Server Seriennummer:

    (only needed if your order Report Generator DOS (single)!)

Pay:
Card type:
Card number:    (e.g.: 5483 0000 1234 9999)
Valid through: /   (Beispiel: 02/01)
Card holder:

        

Date

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Card holders sign (if different)