TimeSync Order Form

Please print out this form, fill in the details and mail it along with your check to
Intellisoft Inc., Stockmattstr. 3, CH-5316 Leuggern, Switzerland.

If you have any questions, please contact us or fax to +41 56 245 5140.

Name: ____________________________ Organization:

____________________________
Postal Address:	____________________________
	____________________________
Town:	______________
Country:	______________
Email Address:	____________________________
Fax:	______________

I would like to order the following license for using TimeSync*:

[ ] Single license for ___ workstations or servers @ USD 10.00 per machine
[ ] Small Organization (between 10 and 100 NT machines): USD 600.00
[ ] Medium-sized Organization (between 100 and 1000 NT machines) USD 1000.00
[ ] Large Enterprise (more than 1000 NT machines): USD 2000.00 per year (incl. support)

I am enclosing a check for USD_______.00. I understand that Intellisoft will donate 10% of that amount to charity. Please send it to the following type of organization:

[ ] Homeless and destitute
[ ] Abused children
[ ] Mentally handicapped
[ ] Physically handicapped
[ ] Aids victims
[ ] Amnesty International
[ ] World Wildlife Fund (WWF)

in the following region of the world:

[ ] Africa
[ ] Asia
[ ] Europe
[ ] North America and Central America
[ ] South America
[ ] ____________ (please specify)

Signature : _____________________________. Signed on date: _______

* Please add 7.5% VAT (MWST) if ordering from Switzerland.
Purchase orders welcome for orders of USD 1000.00 and more.
Payments can also be made by bank wire-transfer. Please contact us for instructions.