TSE ENTERPRISE EDITION ORDER FORM (201301) Name: ______________________________________________________ [Company]: ______________________________________________________ Address: ______________________________________________________ City: ____________________________ Postal Code: ____________ Country: ____________________________ [State]: ________________ Phone: ________________________ Fax: ________________________ Email: ______________________________________________________ Enterprise yearly WWW edition Forget about usernames and passwords! Let all your users access TSE from your internal network right away. Includes unlimited users. Valid 1 year.................... 3519 ______ Enterprise yearly HTML edition Get global access to TSE WWW edition for all your users. Post our web pages on your internal network right away. Includes unlimited users. Valid 1 year.................... 6539 ______ Enterprise yearly Winhelp edition Get global access to TSE Winhelp edition for all your users. Post the software on your internal network right away. CDROM or FTP download. Includes unlimited users. Valid 1 year.............................................. 7899 ______ TOTAL EUR WITHOUT VAT.......................................... ______ If you are within EU and don't have a EU VAT number please add 19.6% VAT. If you have a EU number please state it: VAT ______ EU VAT number: ________________________________ TOTAL EUR WITH VAT (if applicable)............................. ______ PAYMENT ( ) Check (must be drawn on a French bank in EUR, payable to TBS) ( ) Bank Transfer in EUR: Please request your bank to fill the following SWIFT fields with: Account with institution - field 57 (option A): CMCIFR2A Beneficiary customer's account - field 59, 1st line: /15959021010004324764624 Detail of charges - field 71A: OUR Signature: __________________________________________________ Date: ________________________________ SEND TO: TBS internet 22 rue de Bretagne, 14000 CAEN, France Fax: +1-760-284-6216 or +33-2-3178-3187 (write in ALL CAPS) email: orders@TBS-satellite.com