VOC-AIT Order Form Version 2.3, 02-02-96 Copyright 1996, Stichting VOC, Huizen. All Rights Reserved. Return this form to : Stichting VOC P.O.box 3030 1273 RJ Huizen E-mail: sdn@planet.nl The Netherlands / Holland ===> Please read the information in the REGISTER.DOC before ordering! Otherwise we may not have enough information to process your order, it may be delayed or cancelled. 1: English > Dutch & Dutch > English ($ 50) 2: English > German & German > English ($ 50) 3: German > Dutch & Dutch > German ($ 150) 4: French > Dutch & Dutch > French ($ 50) 5: French > English & English > French ($ 50) 6: Spanish > English & English > Spanish ($ 50) 7: Indonesian > Dutch & Dutch > Indonesian ($ 10) 8: Chinese > German & German > Chinese ($ 200) 9: Chinese > Dutch & Dutch > Chinese ($ 200) 10: Esperanto > English & English > Esperanto ($ 10) Name : _________________________________________________ Company : _________________________________________________ Address : _________________________________________________ _________________________________________________ Phone : _________________________________________________ Registration Name (35 chr) : ___________________________________________ Quantity _______ x US$ 10.- => US$ ____________ Quantity _______ x US$ 50.- => US$ ____________ Quantity _______ x US$ 150.- => US$ ____________ Quantity _______ x US$ 200.- => US$ ____________ Amount to be paid: US$ ____________ tote !! ------- The cost of money transfer is NOT included in the deal !!! Ask your banker or postoffice all the information needed ! The cheapest way is mailing the amount (if small) in cash! The risk of loss is limited, but will not be acknowledged! Type and date of money transfer: _____________________________________ I read and agree abiding the VOC license agreement: (Date and Signature) ______________________________________