Please, fill up this form, print it and send it to:    Jean-Marie Cahard - Résidence Le Manon - 52 Avenue Ollivary  -  13008  Marseille - France

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ORDER FORM

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Product Quantity Unit price Amount IDX4U software 65 US$ €  IDX_Publish software 30 US€ €  Total   €

Attention: IDX4U version4.1.1 or higher, is a prerequisite to IDX_Publish. The two softwares must be installed on the same PC.

Please, specify which window version will be used with IDX4U:

Windows 95,98,me

Windows NT,2000,XP,Vista

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Payment mode:

Bank cheque: Join the cheque to the order form

Credit card: Click button below:

Bank transfer: IBAN: FR95 3000 2016 3100 0003 1495 R17 BIC: CRLYFRPP

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Deliver to:

Name*		Surname *
Company
Address *
Town *		Zip Code *
Country *
Email *		Telephone

Mandatory informations.

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Signature

Date: