O R D E R F O R M for N G W F I X 1 Fill out this form to order the NGWFIX1 commercial version from NEAT. Fax it to: +31-20-5608610 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴커 � Customer details � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴캑 � Company name : � � Name : � � Function : � � Address : � � : � � Zip code : � � City / state : � � Country : � � Phone : � � Fax : � � Email address: � 읕컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴켸 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴커 � Order detail � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴캑 � Your ordernumber : � � Domain name used in � � GroupWise system : � 쳐컴컴컴컴컴컴컴컴컫컴컴컴컴컫컴컴컴컴컫컴컴컴컴컴쩡컴컴컴컴컫컴컴컴컴컴캑 � Desired license � 10 user � 25 user � 100 user � 250 user � unlimited � � � US$ 100 � US$ 225 � US$ 500 � US$ 750 � US$ 1000 � � 쳐컴컴컴컴탠컴컴컴컴탠컴컴컴컴컵컴컴컴컴컴탠컴컴컴컴컴� � (check only one) � � � � � � 읕컴컴컴컴컴컴컴컴컨컴컴컴컴컨컴컴컴컴컨컴컴컴컴컴좔컴컴컴컴컨컴컴컴컴컴켸 旼컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴커 � Creditcard details � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴캑 � Creditcard number: � � Registered to : � � Expiration date : � 쳐컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴컴캑 � Signature � � � 쳐컴컴컴컴컴컴컴쩡컴컴컴컴컴컴컴컴컫컴컴컴컴컴컴컴컴컴쩡컴컴컴컴컴컴컴컴캑 � Type of card � AMEX � EURO/MASTER � VISA � 읕컴컴컴컴컴컴컴좔컴컴컴컴컴컴컴컴컨컴컴컴컴컴컴컴컴컴좔컴컴컴컴컴컴컴컴켸