Please (1) Print this form. (2) Use a pen to fill the form in CAPITAL letters. (3) Fax the form. Thank you.
ORDER FORM

To: CONSIST Srl.
CONSIST Srl. - via Toffetti, 27 - 20139 Milano - Italy
sales@consist.it - http://www.consist.it
Tel: +39/02/5681.4621 Fax: +39/02/5521.0902

FAX:
+39/02/5521.0902

 
YOUR INTERNAL ORDER NUMBER, IF ANY: ORDER DATE:

CUSTOMER ADDRESS:

CONTACT: COMPANY:
ADDRESS:
ADDRESS:
CITY: POSTCODE:
TEL: FAX:
EMAIL: VAT CODE (PARTITA IVA), IF ANY
PART NO. / DESCRIPTION PRICE QTY SUB-TOTAL
PDF REPORT XP Single Developer Edition 200.00 Euro    
PDF REPORT XP Single Developer Edition - Upgrade old versions 100.00 Euro    
PDF REPORT XP Enterprise Wide Edition 450.00 Euro    
PDF REPORT ZeroAdmin Single Developer Edition 200.00 Euro    
PDF REPORT ZeroAdmin Single Developer Edition - Upgrade old versions 100.00 Euro    
PDF REPORT ZeroAdmin Enterprise Wide Edition 450.00 Euro    
PDF REPORT .Net Single Developer Edition (100% managed code) 200.00 Euro    
PDF REPORT .Net Single Developer Edition - Upgrade old versions 100.00 Euro    
PDF REPORT .Net Enterprise Wide Edition 450.00 Euro    
       
       

VAT (where applicable)

 

TOTAL

 
CREDIT CARD NUMBER:  [ x ] VISA ONLY
                                                 

EXPIRY DATE:

EXAMPLE:
    /        
0 6 / 2 0 0 1
 

CARD HOLDER'S NAME:

CARD HOLDER'S SIGNATURE:
 

Annotations: