?QUESTWARE® - INTERNATIONAL ORDER FORM

Name            ______________________________________________

Organization    ______________________________________________

Address         ______________________________________________

City            _____________________________ ZIP  ___________

State           __________________ Country  __________________

Phone number    ______________________________________________

Fax number      ______________________________________________

Date (mm/dd/yy) ______/______/______

Signature       ______________________________________

Please send me the following items: (see online Help for Information)

?QUESTWARE® ENGLISH version, (only english questions)

	___  1 User Version, Price: $  490.00
	___  5 User Version, Price: $  990.00
	___ 10 User Version, Price: $ 1290.00
	___ 20 User Version, Price: $ 1490.00

(Prices are in US $, VAT & Delivery excluded).

?QUESTWARE® GERMAN version, (englisch and german questions)

	___  1 User Version, Price: DM  990.00
	___  5 User Version, Price: DM 1990.00
	___ 10 User Version, Price: DM 2490.00
	___ 20 User Version, Price: DM 2990.00

(Prices are in German Marks, VAT & Delivery excluded).

___ Free ?QUESTWARE® Demoversion with Windows Setup and the complete
    NetWare v3.11: System Manager in english AND german !!
___ Free Information about ?QUESTWARE®, about question pools, ...

___ Update from CNEWare to ?QUESTWARE ___ User Version, Price: DM _____

    Serial number for CNEWare: ____________________
    (Update only available for registered users)

(Prices are in German Marks, VAT & Delivery excluded)

Send or fax the order form to:
  LAN Schaeffer NAEC
  Fokko-Ukena-Str. 18         Am Seestern 1
  26789 Leer                  40547 Düsseldorf 11
  GERMANY                     GERMANY
  Tel 04 91 / 9 19 96-11      Tel 02 11 / 5 57 35-11
  FAX 04 91 / 9 19 96-12      FAX 02 11 / 5 57 35-12