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 Update
(Article-No.: CE-C-TF-020-0002 )
$ 19.90
€ 19.90
  Please choose your device type:
[ ] Pocket PC     [ ] 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 ($).