Order Form for Xtremes 3.0

Please fill out and print the following form and send it by postal mail or fax to

RiskTec
Zur Alten Burg 29
D-57076 Siegen
Germany

Fax: +49 271 740-3627

Name
Address
Country
E-Mail

I order the following Xtremes 3.0 license:

Academic User
Single License (200 Euro/270 US$)
plus additional licenses (75 Euro/101.25 US$ each)
Site License (600 Euro/810 US$)
Commercial User
Single License (600 Euro/810 US$)
plus additional licenses (200 Euro/270 US$ each)
Site License (1600 Euro/2160 US$)
I will pay the total amount of Euro/US$ plus applicable sales tax by bank transfer (or Euro/US$ check) after having received an invoice.

Date:    Signature: