O R D E R   F O R M

We are ordering the following product:	
Product name	Version*	Quantity*	
License for using the CryptoTerm package			

License:	
Company name*		
Street Address*		
Additional Address information		
ZIP/Postal Code*		
City*		
State/Province		
Country*		
VAT ID		
Phone		
Fax		

Invoice:	
If the payer’s data is different from licensee’s, please fill in the data for invoice issue.

	

Hereby I grant JT-Soft company the right to issue the invoice without recipient’s signature.

Delivery:	
E-mail address where the pro forma invoice will be sent and, after payment, a file with the license.
E-mail address*:		
*Required field

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	City and date	Signature and Stamp