ZipWave Order Form / Bon de commande ZipWave

ORDER FORM / BON DE COMMANDE

Please print and return this order form to :
VEUILLEZ IMPRIMER ET RETOURNER CE BON DE COMMANDE A :

Newave Inc. (FR.)
82 rue de Beaumont,
95560 Maffliers, FRANCE.
Fax : +33 (0)1-34-69-96-43

INFORMATION

Surname : NOM :		First Name : PRENOM :
Company : SOCIETE :		E-mail :
Address : ADRESSE :		City : VILLE :
		Zip Code : CODE POSTAL :
		Country : PAYS :
Registered Owner : NOM D'ENREGISTREMENT :		Phone #: N° DE TELEPHONE :
AID :	#AID#

PAIEMENT

[_]	By check to Newave payable to a French Bank (Emitted in French francs or Euros from a Bank presents in France) PAR CHEQUE A L'ORDRE DE NEWAVE (Emis en Francs Français ou Euros par une Banque présente en France)

SOFTWARE

Qty.	DESIGNATION	EURO	F.FRANCS	US$*	TOTAL
[ _ ]	ZipWave License Number** NUMERO DE LICENCE ZIPWAVE
	- 1 license - 2 => 9 licenses - 10 => 24 licenses - 25 => 49 licenses - 50 => 99 licenses - 100 => 199 licenses - 200 => 499 licenses - 500+ licenses	€ 20.58 € 16.77 € 12.20 € 9.91 € 7.62 € 5.34 € 4.57 € 3.05	135.00 F 110.00 F 80.00 F 65.00 F 50.00 F 35.00 F 30.00 F 20.00 F	$ 20.18 $ 16.44 $ 11.96 $ 9.71 $ 7.47 $ 5.23 $ 4.48 $ 2.99
[ _ ]	ZipWave License Number + Hard copy of ZipWave on Floppy Disk*** NUMERO DE LICENCE ZIPWAVE + ZIPWAVE SUR DISQUETTE
	- 1 license - 2 => 9 licenses - 10 => 24 licenses - 25 => 49 licenses - 50 => 99 licenses - 100 => 199 licenses - 200 => 499 licenses - 500+ licenses	€ 25.92 € 19.82 € 15.24 € 12.96 € 9.15 € 6.86 € 5.34 € 3.81	170.00 F 130.00 F 100.00 F 85.00 F 60.00 F 45.00 F 35.00 F 25.00 F	$ 25.41 $ 19.43 $ 14.95 $ 12.70 $ 8.97 $ 6.73 $ 5.23 $ 3.74
[ _ ]	ZipWave Deluxe Version (License Number + Hard copy on CD)**** VERSION DELUXE DE ZIPWAVE (NUMERO DE LICENCE + ZIPWAVE SUR CD)
	- 1 license - 2 => 9 licenses - 10 => 24 licenses - 25 => 49 licenses - 50 => 99 licenses - 100 => 199 licenses - 200 => 499 licenses - 500+ licenses	€ 30.49 € 23.63 € 18.29 € 15.24 € 10.67 € 7.62 € 6.86 € 4.57	200.00 F 155.00 F 120.00 F 100.00 F 70.00 F 50.00 F 45.00 F 30.00 F	$ 29.89 $ 23.17 $ 17.94 $ 14.95 $ 10.46 $ 7.47 $ 6.73 $ 4.48
SHIPPING / HANDLING FRAIS DE PORT					FREE GRATUITS
TOTAL

Signature needed :
Signature obligatoire :

THANKS FOR RESPECTING THE WORK OF NEWAVE INC. (FR.)
MERCI DE RESPECTER LE TRAVAIL DE NEWAVE INC. (FR.)

*Prices in US dollars are indicatives, payment by credit card will be made in Euros or French Francs. Here 1 Euro = $1.02 USD.
** ZipWave License Number: this mean that Newave will send you only the licence number to register your copy of ZipWave. However, you must download yourself a copy of ZipWave from the Internet, or use a copy you may have found on a CD.
*** ZipWave License Number + Hard Copy on Flippy Disk : you will received a hard copy of ZipWave on a floppy disk and the license number.
**** ZipWave Deluxe Version : you will receive ZipWave on a CD-ROM with demo of other Newave products !