Langlie for Excel - Order

Credit card

Card type:

Card no.:

Valid until:

Name on credit card:

Street:

City:

Bank draft / Wire transfer

Please address your bank draft or wire transfer to:

Account holder:	WebRausch Lang & Otto GbR
Bank:	Deutsche Bank Köln
Domestic bank account number:	2529022
Domestic bank code:	37070024
International bank account number (IBAN):	DE48370700240252902200
S.W.I.F.T / bank identifier code (BIC):	DEUTDEDBKOE

Check / Money order

Please send your cheque or money order to:

WebRausch Lang & Otto GbR
Herr André Lang
Niehler Str. 59
50733 Köln
Germany

2. Name and address

Accounting address:

Name^, First name^
Company
Street^*
Postal Code^* / City^*
Country^*
Phone #
Fax #
e-Mail^*	Your e-Mail address will be kept strictly confidential and never handed on to third-party in any case. You decide on your behalf if you wish to receive e-Mails about updates and product information: Yes, keep me informed by e-Mail about updates and news solely in regard to this product. Yes, I also want general information about offers from WebRausch GbR and other products relating to quality assurance by e-Mail. I am aware that I can unsubscribe at any time.

Delivery address (if different than accounting address):

3. Shipping

Please choose shipment:^*

	by Federal mail (CD-ROM) to the shipping address
	by e-Mail to the address above If you like to receive your licence in an encrypted e-Mail then please copy your PGP-public-key into the following text area (PGP is available from www.pgp.com for free):

4. Price and taxes

The price for a single user license is 500,- EURO (+ VAT).

Non-EU countries:
No VAT is applied for shipments to non-EU countries.

EU countries:
You will be charged with a VAT of 16%. You do not need to pay the VAT if you can supply your VAT-ID.

If available, please enter:

Your VAT-ID

Please remember to add the VAT amount when paying by bank draft, wire transfer check or money order if you do not have a VAT-ID.

5. Submit

Please check if all fields are filled in correctly.

I read the license agreement and consent.^*

Your order will be submitted when you click the button.