Order / Registration form (bank transfer and check payment):
 
1.) Fill out the form below and send it to us
   
2.)
Send the check to  
exsys GbR Emden
Brueckstrasse 86
26725 Emden
-Germany-
or    
pay per bank transfer  
Receiver: exsys GbR Emden
Bank: Sparkasse Emden
Bank location: Emden (Niedersachsen), -Germany-
Bank code: 284 500 00
Account N°.: 441 465 2
Subject: Java Tree Menu
   
3.) As soon as we receive the filled form and the amount is transfered to the given bank account, a version of Java Tree Menu, which will be registered to the name entered in the form, will be sent to the email address specified in the form. This version can be used for all registered licenses.
 
Pricing:
Licenses from   Up to   Price per License
         
1   2   US$ 59,-
3   4   US$ 40,-
5   9   US$ 32,-
10   Unlimited   US$ 29,-
   
   
Quantity (licenses):
(required)           Total amount:       US$  
                        requires JavaScript
   
Name: (required)
eMail: (required)
   
Name/company
to register:
only needed if different from the name entered above
   
Registration
to domain(s):
  When ordering more than one license, all licenses you wish
to register should be listed here.
Licenses not registered here can be registered later with the
registration form.
   
Comments: