SimApp Order Form
=================
Print form, fill out and fax it to:
Buesser Engineering, Wacht 28, Rueti, CH-8630, Switzerland
Homepage: http://www.simapp.com  Email: info@simapp.com
>>>> Fax international: (+41) 552601289 use local country code for Switzerland<<< 
>>>> Fax from UK and most countries (0041) 552601289
>>>> Fax from USA and Canada: (01141) 552601289 <<<<<<

First Name: ___________________________  Last Name: ________________________

Company: _____________________________________________________________

Street: ___________________________________________________________

City/Postal Code: ______________________________________________________

State/Country: ______________________________________________________

Phone/Fax: __________________________________________________________

Email: _____________________________________________________________

SimApp (newest version) for Windows 95/98/NT/2000 with user manual
All prices in Swiss Francs 
+----+----------------------------------------+----------+---------+
Qty  Product                                Price/pce  Amount  
+----+----------------------------------------+----------+---------+
     Standard version                         190.--           
+----+----------------------------------------+----------+---------+
     Standard version for student price        90.--           
      (Send Copy of yout student card!)                          
+----+----------------------------------------+----------+---------+
 Discount rates: 5 pcs. 10%; 10: 20%; 20: 30%; 50: 50%  -        
+----+----------------------------------------+----------+---------+
 Shipping costs                                   8.--           
+--------------------------------------------------------+---------+
 Total due (only Switzerland: 7.5% VAT included)                 
+--------------------------------------------------------+=========+
Outside Switzerland: VAT and possible customs duties are 
paid on receipt of the merchandise

Payment details (tick one box):
[ ] Invoice (within Switzerland only, authorites or big companies)
[ ] Check is enclosed
[ ] Advance payment (We will send you a proforma invoice)
[ ] VISA        [ ] EUROCARD/MasterCard 

    Card No: _________________________________ Expiry Date: ___/___


Date:___________________ Signature: _______________________________


