Order by FAX: ++49 2233 / 933 935
or e-Mail: order@hitbase.de
Big 3 Software
Gebr. Schmitz
Bunsenweg 6
D-50354 Hürth-Burbach
Germany
Order Hitbase 2003
(* = required)
Name* : ____________________________________________
Street* : ____________________________________________
Country* : ___________________ Postal/ZIP code* : _________
City* : _______________________________ State: _________
Tel : _______________________ Fax : _____________________________
E-Mail* : __________________________________________
| O | I hereby order (one) registered version(s) of Hitbase 2003 at a price of 17,50 EUR. | ___ copie(s) @ 17,50 EUR = __________ |
| O | For already registered users: I hereby order (one) registered version(s) of Hitbase 2003 at the update-price of 10,00 EUR. Serial number(s) (REQUIRED!): ______________________________ |
___ copie(s) @ 10,00 EUR = __________ |
Total: ________ EUR
I pay with credit card: O VISA O MASTERCARD
Card number*: ______-______-______-______ Expiration date*: __/__
Card holder*: ________________________________ CVV2*: ______
CVV2 = Card Verification Value: The last 3 digits after the credit card number in the signature area on the backside of the card (REQUIRED!).
Date*: ___________________ Signature*: _____________________________