TimeSync Order Form

Please print out this form, fill in the details and mail it along with your
check to
Intellisoft Inc., Stockmattstr. 3, CH-5316 Leuggern, Switzerland.

If you have any questions, please email them to timesync@intellisoft.ch or
fax to +41 56 245 5140.

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 Name:           ____________________________
 Organization:   ____________________________
 Postal Address: ____________________________
                 ____________________________
 Town:           ______________
 Country:        ______________
 Email Address:  ____________________________
 Fax:            ______________
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I would like to order the following license for using TimeSync*:

     [ ] Single license for ___ workstations or servers @ $ 10.00 per
     machine
     [ ] Small Organization (between 10 and 100 NT machines): $600.00
     [ ] Medium-sized Organization (between 100 and 1000 NT machines)
     $1000.00
     [ ] Large Enterprise (more than 1000 NT machines): $2000.00

I am enclosing a check for $_______.00.  I understand that Intellisoft will
donate 10% of that amount to charity. Please send it to the following type
of organization:

     [ ] Homeless and destitute
     [ ] Abused children
     [ ] Mentally handicapped
     [ ] Physically handicapped
     [ ] Aids victims
     [ ] Amnesty International
     [ ] World Wildlife Fund (WWF)

in the following region of the world:

     [ ] Africa
     [ ] Asia
     [ ] Europe
     [ ] North America and Central America
     [ ] South America
     [ ] ____________ (please specify)

Signature : _____________________________. Signed on date: _______



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* Please add 7.5% VAT (MWST) if ordering from Switzerland.

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Copyright  1994..1999 Intellisoft Inc., Switzerland. All Rights Reserved.
Last edited on 1999-04-27.
