
                                                           OrderForm
        Name:__________________________________            
                                                           CYCAS 3.9
        Company:_______________________________           
                                                               basic
        Street, No.:___________________________         
                                                     for Linux (x86)
        ZIP/City:______________________________          
                                                         
        Country:_______________________________         

        EMail:______________________________________________________

        To: Verlag A.C.Frese                    Fax: ++49 5722/90031
            Dipl.Ing. A.C.Frese
            Dipl.Ing. W.Weidner
            Hinueber Strasse 23
            D-31675  Bueckeburg
            Germany
        ____________________________________________________________
        ORDER:

        I accept the delivery and payment conditions mentioned below
        and order the [ ] English  or  [ ] German version of:

        [ ] CYCAS 3.9 basic on CDROM                       98.00 EUR
            plus package and shipping                       5.50 EUR
            only within Europe

        [ ] CYCAS 3.9 basic via EMail                      88.00 EUR
            international

        [ ] CYCAS 3.9 basic via EMail                      98.00 US$
            international
        ____________________________________________________________
        Choose the payment method:
        [ ] International money order (available at your postoffice)
        [ ] Giro transfer to: Volksbank Schaumburg, BIC: GENODEF1BCK
                              IBAN: DE15 2559 1413 0033 283 600
                              Marktplatz 1,  D-31675 Bueckeburg, GER
        [ ] Visa
        [ ] Mastercard

            Name as on card:____________________________________

            Card number:________________________________________

            Card varification number (last 3 figures ):_________

            Expiry date: Month:______________Year:______________

        Please note: The amount in US$ will be converted into EUR by
                     the current exchange rate.
        ____________________________________________________________
        Delivery and payment conditions:
        Price:       incl. VAT (=MwSt)
        Delivery:    via EMail/DeutschePostAG  after confirmation of
                     payment.
        Reservation: All  products  remain  unrestricted property of
                     Verlag  A.C.Frese  until full payment  has been
                     received.  Due  to  the  nature  of  a software
                     product,  no refunds  can be given.  Changes of
                     conditions reserved.
        If you accept this offer, please fill out this orderform and
        send it to us.  All personal data will be kept confidential.
        ____________________________________________________________
                    See http://www.cycas.de/ for latest information.
                        Bueckeburg, February 2008, Verlag A.C.Frese.
