Print out this form and mail, together with a cheque to:-
Octatec Ltd.,
1 Pankhurst Ave, Britannia Village,
London, E16 1UT.
England.
You can now order and pay for the software online

(Or you can print out this form and  send a cheque)
U.K. Company registration number: 
2834582. 
U.K. Vat registration number:
613 3303 88
ORDER FOR ComBridge SERVER
2 Connection Version: PRICE:  £ (GBP)  or  e (EUR) or  $ (USD)
(U.K orders must add % VAT, total price £ )
Unlimited Connection Version: PRICE:  £ (GBP)  or  e (EUR) or  $ (USD)
(U.K. orders must add % VAT, total price £ )
(orders from other EU countries need not add VAT if they are VAT registered)
(otherwise they must add % VAT)

Please supply  ___  copy/copies of the   2 connection/Unlimited connection (delete as appropriate)  version of ComBridge Server

I enclose a cheque for  £ __________   or    $ ____________  or    e ____________ to cover the order

Non UK) EU Customers Only: VAT NUMBER _______________________ COUNTRY ___________
(this information is required from EU customers in order for VAT not to be charged)
Choose the way you want to receive your order (tick prefered option)
(a) Dispatched by return on 1.44 Mb 3 1/4 inch floppy disk.            [___]
    (add $5.00 or £3.00 or e5.50 for postage/packing)
(b) By private download page (your email address is requried for this) [___]

YOUR ORDER REF (fill in if required): _______________________

DELIVERY ADDRESS

Organization:    ______________________________________

Address Line 1:  ______________________________________

Address Line 2:  ______________________________________

County/State:    ______________________________________

Post/Zip Code:   ______________________________________

Country:         ______________________________________
 

eMail:           ______________________________________
(this is required if you are receiving your order via private download page so we can notify you when it's available)