ORDER FORM FOR DIRECT ORDERS FROM KATMAR SOFTWARE ================================================= Use this form if you want to order directly from Katmar Software. Please note that you cannot send credit card orders directly to us, you must use one of our agents for credit card orders. You must pay by check (cheque) or money order if you order directly from us. Send your order to : Katmar Software, PO Box 654, Westville, 3630, South Africa Date : ________________ Order Number : _____________ Ordered By :- Name : _______________________________________________ Job Title : _______________________________________________ Department : _______________________________________________ Company : _______________________________________________ Email address: _______________________________________________ Supply :- (please delete as appropriate) (Prices incl of P&P) 1 copy of Project Risk Analysis (single user licence) at US$80-00 1 copy of Project Risk Analysis (site licence) at US$250-00 SUM Enclosed : US$ __________ Enclose a cheque or money order for the above amount. No purchase orders or COD's will be accepted. If ordered from within the South African monetary area payment may be made in Rands at the current exchange rate. Delivery Method Our standard delivery method is to send the password by email. If you do not have email you must supply either a physical mail address or a fax address. Please tick one of the methods below:- By email : ___ By fax : ___ By snail mail : ___ Additional Information (This information is optional unless you have requested a delivery method that requires it) Address : _______________________________________________ _______________________________________________ Town : _______________________________________________ State : _______________________________________________ Postal / ZIP Code: _______________________________________________ Country : _______________________________________________ Fax : _______________________________________________