HAMLET II order form

Please print this order form, and mail it 
when completed with payment details to 

Alan Brier
105 Brookvale Road
Highfield
Southampton, SO17 1QY
UK


Name    ______________________________________________________

Address ______________________________________________________

______________________________________________________

______________________________________________________

Postcode______________________________________________________

State   ______________________________________________________

Country ______________________________________________________

E-mail  ______________________________________________________


Please register my copy of HAMLET II for Windows _________
and send me a registration key by e-mail
(registration charges Academic use £ 67.00 / Students £50.00 / 
Commercial use £100.00 per copy). 
Please send me _____ copy(ies) of HAMLET II for Windows on CD-ROM 
(charges as for registration plus an additional handling charge 
of £ 30.00 per copy, including postage and packaging).
I have already purchased Hamlet I ; please send __________
me by e-mail a key to update to HAMLET II
(additional fee £ 30.00 per copy). 
Please send me _____ copy(ies) of the full HAMLET II documentation,
printed and bound ( £ 20.00 per copy, including postage and packing).

I enclose a cheque/money order for the sum of £____________

I am transferring the equivalent sum in Euro €____________ 
to:
Nassauische Sparkasse
Karl-Bosch-Str. 10
D-65203 Wiesbaden

Account Nr.146007295 BLZ: 51050015
IBAN: DE05 5105 0015 0146 0072 95 S.W.I.F.T.-BIC: NASSDE55
    


I wish to pay with the following credit card : 
Type:
Number:             
Card holder:
Expiry date:

Payment address, if different from above:
1. 
2. 
3. 
4. 
5. 



Signature: .........................................