Full Name: --------------------------------- Contact person: --------------------------------- Street: --------------------------------- Zip, City: --------------------------------- Country: --------------------------------- E-Mail or Fax: --------------------------------- Star-Tools GmbH +----------------------+ - Sales - ! Fax: +49 40 52950607 ! Hopfenweg 207 +----------------------+ 22851 Norderstedt Deutschland O R D E R : Licence(s) Bootmanager BOOTSTAR each US$ 20.00 US$ .00 --- (Please fill in the number of systems) ( ) Registration Key, Invoice via E-Mail US$ 0.00 US$ .00 ( ) Registration Key, Invoice via Fax US$ 5.00 US$ .00 ( ) Disk, Invoice via postal mail US$ 10.00 US$ .00 ----------- Total US$ .00 =========== Payment Options: ( ) Cash (not a draft) in advance ---------------------------- ( ) VISA Card owner ( ) Euro-/MasterCard ---------------------------- ( ) American Express Card number ( ) After receiving Invoice (only to companies, min. ---------------------------- of US$ 100.00, shipping Expire date only via postal mail) ---------- ---------------------------- Date Signature (Card owner)