TextPad Order Form for Payment in Europe

Payment may be made with a cheque, or various credit cards. See the Price List for current pricing, and return the completed Order Form below.

Licenses required:
    [  ] 1, [  ] 5, [  ] 10, [  ] 20, [  ] 50, [  ] Unlimited

Price:	__________
CD-ROM (£9.50):	__________
*VAT at 17.5%:	__________
Total amount paid:	__________

* European community residents must pay VAT (TVA, IVA, BTW, Mwst, Moms) at 17.5%, except for non-UK residents who are registered for VAT, and quote their registration number below.

VAT Registration number: ______________________

Method of Payment:
    [  ]Cheque, [  ]MasterCard, [  ]VISA, [  ]AMEX,
    [  ]JCB, [  ]EuroCard, [  ]DELTA

Credit Card Number:	_________________________
Expiry Date:	____/_____
Name On Card:	_________________________
Your Name (if different):	_________________________
Company:	_________________________
E-mail Address:	_________________________

Billing Address:
____________________________________________
____________________________________________
____________________________________________
____________________________________________
Country: ___________________

Please send this completed form with your cheque (if appropriate) to:

Helios Software Solutions
PO Box 619
LONGRIDGE
PR3 2GW
England
FAX: +44 (0)1772 786375
E-Mail: sales@textpad.com

Thank you for your interest in this product.