| mail it to Exody E-Business Intelligence GmbH - Orders - Hauptstraße 129 65760 Eschborn GERMANY |
or fax it to +49 61 96 95 99 150 |
| Company: | _____________________________________________ |
| Department: | _____________________________________________ |
| Name: | _____________________________________________ |
| Title: | _____________________________________________ |
| Address: | _____________________________________________ |
| Town: | _____________________________________________ |
| State/County: | __________________________ Postal Code: ________ |
| Phone: | _____________________________________________ |
| Fax: | _____________________________________________ |
| E-Mail: | _____________________________________________ |
| VAT#: | _____________________________________________ |
I hereby order:
| __ | WebSuxess 4 Enterprise Edition Single User License(s) for £ 530 |
| __ | WebSuxess 4 Enterprise Edition ISP License(s) for £ 1420 |
| __ | Update to WebSuxess 4 Enterprise from WebSuxess 3.0 Enterprise for £ 160 |
| __ | Update to WebSuxess 4 ISP from WebSuxess 3.0 ISP for £ 320 |
| __ | Upgrade to WebSuxess 4 Enterprise from WebSuxess 4 StartUp for £ 430 |
| __ | Upgrade to WebSuxess 4 ISP from WebSuxess 4 Enterprise for £ 890 |
| __ | ShopSuxess 4 Enterprise for £ 1,839 |
Method of Payment:
[ ] Please bill me.
[ ] Please charge my
MasterCard/Eurocard.
| Credit card holder: | ______________________________ |
| Credit card number: | ______________________________ |
| Expiration date: | ______________________________ |
| __________ | ________________________ | ||
| Date | Signature |