TSE Winhelp CD edition order form (201301) Name: ______________________________________________________ [Company]: ______________________________________________________ Address: ______________________________________________________ City: ____________________________ Postal Code: ____________ Country: ____________________________ [State]: ________________ Phone: ________________________ Fax: ________________________ Email: ______________________________________________________ 8 issues (2 years) Winhelp subscription: on CD at EUR 597 each........................................___x 597 ______ 4 issues (1 year) Winhelp subscription: on CD at EUR 335 each........................................___x 335 ______ Current Winhelp issue: on CD at EUR 95 each.........................................___x 95 ______ 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)............................. ______ SHIPMENT We ship CDs via airmail, but if you prefer, we can ship via your favorite express delivery company if you provide us with your account number (you will be charged for the transportation). Ship Express via: _______________________ on my account: ______________ PAYMENT ( ) Check (must be drawn on a French bank in EUR, payable to TBS) ( ) SWIFT (see details at https://www.TBS-internet.com/secure/rib.html ) ( ) Credit card (Visa/MasterCard/Amex): Number: ________________________________ Expiration: __________ Verification code: ________ 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