Order Form
~~~~~~~~~~
The Shareware User License Agreement gives you the right to try out
the Champ Class Library for up to 60 days at no cost.  After the trial
you are legally bound to purchase one of the licenses listed under the
Registered User License Agreement or to stop using Champ.

If you wish to order a Champ license, you can:

   o  Print this order form, fill it out, and fax or send it to:
         Salvisberg Software & Consulting
         Bellevuestr. 18
         CH-3095 Spiegel
         SWITZERLAND
         Fax:  +41 31 972 42 10
         Email:  orders AT salvisberg DOT com

   o  Copy this order form to the clipboard and to your text editor or word
      processor (use a monospaced font like Courier New), fill it in,
      and email, fax, or send it to us at the address above.

   o  Go to the Champ Home Page at http://www.salvisberg.com/champ and use the
      on-line order form.

Note:  Prices and conditions are subject to change without notice.  The Champ
Home Page always has current information.

Our standard delivery mechanism is through email:  we send you a license keycode
and instructions on how to download Champ and additional files (including
nicely-formatted printable documentation) from our web site.  The keycode is
tied to your registered name;  you will need to enter both during the
installation procedure.  Please choose your registered name carefully and
double-check spelling and capitalization, because it will be visible in the
About Champ Box of every program you create with Champ (except for ProFessional
Licenses).


Order Information

Quantity  Champ Library - License Type  Price SFR     Price US$*    SFR or US$?

 ______  Champ Personal License         CHF   90.-      $64.00      ___________

         Champ Educational License, based on total number of
         potential users (sum of all faculty, staff, and students),
         including Home Licenses for all these people:
  [  ]      up to  250 members          CHF  450.-      $320.00     ___________
  [  ]      up to  400 members          CHF  624.-      $444.00     ___________
  [  ]      up to  650 members          CHF  872.-      $620.00     ___________
  [  ]      up to 1000 members          CHF 1176.-      $836.00     ___________
  [  ]      up to 1500 members          CHF 1558.-     $1108.00     ___________
  [  ]      up to 2000 members          CHF 1900.-     $1350.00     ___________
  [  ]      up to _______________            ask          ask       ___________

 ______  Champ ProFessional License     CHF  600.-      $427.00     ___________

  [  ]   Delivery of physical disks and invoice (optional)
                                        CHF   20.-       $15.00     ___________

         Subtotal                                                   ___________

  [  ]   Value-Added Tax
         (for Swiss customers only, MWST-Nr. 383 167)         7.6%  ___________

         TOTAL                                                      ___________


Address Information

First Name           __________________________________________________________
Last Name            __________________________________________________________
Institution/Company  __________________________________________________________
Street Address       __________________________________________________________
                     __________________________________________________________
Zip/Postal Code      __________________________________________________________
City                 __________________________________________________________
State/Province       __________________________________________________________
Country              __________________________________________________________
Phone                __________________________________________________________
Fax                  __________________________________________________________
Email                __________________________________________________________
(required for email delivery - please double-check spelling!)

The registered name usually has the form "Firstname Lastname, City" for
individuals and "Institution/Company, City" for institutions and companies.
If you need a different (but equivalent!) registered name, spell it out here:

    ___________________________________________________________________________


Payment Information

 [  ]  VISA               Name on Card ________________________________________
 [  ]  MasterCard         Card Number  ________________________________________
       (*MC: SFR only!)   Expires      Month: _____   Year (4 digits): ________
 [  ]  AmEx
                          Signature    ________________________________________

 [  ]  eurocheque (with card number on back) in SFR enclosed
       (no other kind of personal checks, please!)

 [  ]  international postal money order (prepaid) in Swiss funds sent separately

 [  ]  check or money order in Swiss funds drawn on a Swiss bank enclosed

 [  ]  bank transfer (prepaid) to United Bank of Switzerland, CH-3001 Bern,
       Switzerland, account 560828.40U

 [  ]  other method of payment (by prior arrangement only); please specify:
       _________________________________________________________