| Print out this form and mail, together with
a cheque to:-
Octatec Ltd., 1 Pankhurst Ave, Britannia Village, London, E16 1UT. England. |
(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
Fix
Gateway
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, total price e
)
Please supply ___ copy/copies of Fix Gateway
for operating system (tick desired version or enter a quantity if more than 1): windows [___] Linux(ix86) [___]
I enclose a cheque for £ _____________ or $ ______________ or e_____________ to cover the order
Computer name where the software will run __________________________ (How to find your computer name)
(NON UK)EU Customers Only: VAT NUMBER
_______________________ COUNTRY ___________
(this information is required from
non-uk-based 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.
[___]
(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)