Order Form

To:
envi.con KG
Detmolder Str. 60
D-10715 Berlin/Germany
FAX No. +49-30-34902671


I have read the license agreement and want to order:

license(s) PIA CREATOR PRO
    $149.00 per license

 

Name (required) Company E-mail Address (required)
Street Address (required)
City (required) State (required) Zip Code (required)
Country (required) Shipping Method (required)  
 
pay by creditcard: send or fax (+49-30-34902671) us this form
Credit Card Company (required) Credit Card Holder (required)  
 
Credit Card # (required) Expiration Date (required)  
 
Signature of card holder:(required)_______________________________________
pay by check or cash: Send us this form plus
from Europe: Eurocheque or bank cheque in EURO 159,00 x the amount of licenses
International money order in $149.00 x the amount of number of licenses + $5 for handling intl. money order
Cash in $149.00 x the amount of number of licenses. At your own risk!
from USA:

Personal check or cashier's check drawn on a US bank in $149.00 x the amount of licenses + $5 for check handling
International money order in $149.00 x the amount of licenses + $5 for handling intl. money order
Check in $149.00 or 159.00 EURO x the amount of licenses drawn on a German bank
Cash in $149.00 x the amount of licenses. At your own risk!

from the rest of the world: Check or intl. money order in US$ 99.00/159.00 EURO x the amount of licenses + $5/EURO 6.00 for check handling
from Germany:

Banküberweisung: Berliner Bank, BLZ 100 200 00, Konto: 43 92 80 21 00: EURO 159.00 x the amount of licenses