Komkom Doorn
St.Pieternieuwstraat 134  | 9000 Gent  |  Belgium  |  Europe

	fax 		+32 . 9 . 234 22 15
	e-mail 		raf@komkomdoorn.com

Order form
	Product					Price

	Krokodove - level 2			200 euro
	Krokodove - level 3			300 euro
	Krokodove - level 4			500 euro 

	Krokodove - upgrade level 2 to 3	120 euro
	Krokodove - upgrade level 2 to 4	320 euro
	Krokodove - upgrade level 3 to 4	220 euro 

	Buy 5, pay only 3!
	Buy 10, pay only 5!

	I wish to order ___ Krokodove licences/upgrades of level ___
	
	Total to be charged to your card ______ euro

	Currently there's no hardcopy of the manual available.
	All software files are delivered through the internet.

Credit Card
	Visa and Mastercard/Eurocard are accepted.
	Contact us if you wish to pay in some other way
	
	Name _______________________________________________________________________
	Issuing Bank _______________________________________________________________
	Credit Card Number _________________________________________________________
	Expiration Date ____ /____  			 Type  [] Visa [] Mastercard

	Authorized Signature _______________________________________________________

Information
	Name _______________________________________________________________________
	Company name _______________________________________________________________
	V.A.T. _____________________________________________________________________
	Address ____________________________________________________________________
	City _______________________________________________________________________
	State/Province _____________________________________________________________
	Zip/Postal Code ____________________________________________________________
	Country ____________________________________________________________________
	E-mail _____________________________________________________________________
	Website ____________________________________________________________________
	Phone ____________________________________  Fax ____________________________