KSE Software Schweidnitzerstr. 39 D-40231 Duesseldorf Germany Fax: +49 (0) 211-209 966-11 Windows CE - Orderform

ORDER

Simply print this form, complete all the items below and send it to the above mentioned fax number. Product item(s)

__ KSE Truefax 2.0 (Article-No.: CE-C-TF-020-0001 ) $ 34.90 € 34.90   Please choose your device type: [ ] Pocket PC     [ ] Pocket PC 2002     [ ] Windows Mobile 2003     [ ] Handheld PC 2000               All prices:   [ ] via post (excl. €/$ 7,- S+H)     [ ] via Email, Registration # (incl. S+H) Total ________ Please fill in the requested data from the 'Registration dialog' of your Windows CE device. More information about how to register you will find on www.ksesoftware.com under Support and "general questions". User-Name ________________________________________ User ID _ _ _ _ _ - _ _ _ _ _ - _ _ _ _ _ (3 x 5 digits)     Address   First Name ________________________________________ Last Name ________________________________________ Company ________________________________________ Street ________________________________________ Zip Code / City _______ / _______________________________ Phone ________________________________________ Fax ________________________________________ E-Mail ________________________________________ Credit card information   Credit card [ ] EuroCard/MasterCard   [ ] Visa Credit cart number ________ ________ ________ ________ CVV ________ (max. 4 digits) Valid thru _____ /_____ * The CCV is a 3-digit number on the back of your Visa card. The full credit card number is reprinted in the signature box and at the end of the number is the CCV. [ ] * Please notice that for European customers the currency of the above mentioned price is Euro (€) instead of US-Dollar ($).