Order form: TRIZ Explorer software package.
Please, print, complete and fax (or mail) this form to us.   

1. Please select type of your order:

[  ] Standard package	Single-user TRIZ Explorer license.  European orders: Euro 145.00  Rest of the world: US$ 145.00
[  ] Value-added package	Single-user TRIZ Explorer license plus the book "TRIZ: The Right Solution at the Right Time: A Guide to Innovative Problem Solving".  European orders: Euro 195.00  Rest of the world: US$ 195.00

2. If you order the book, please select shipment method:
 

Europe	Price	Rest of the world	Price
[  ] Standard	Euro 5,20	[  ] Standard	US$ 10,00
[  ] Priority	Euro 10,00	[  ] Priority	US$ 20.00

3. Number of licenses and total price:

 

No of licenses:

• Residents of The Netherlands, please, add sales tax of the total price of the software (17.5%) and the book (6%, if ordered).
• Residents of EC countries, add sales tax or, alternatively, indicate your VAT or a local sales tax ID Number: 

VAT or a local sales tax ID Number:

Total price: _________________________________   

4. Billing and shipment information: 

 

Name
Organization:
Address:
Address (cont.)
City:
Country:
State
Zip code:
Phone:
Fax:
E-mail:

5. Payment Method

Credit Card: 

[  ] Eurocard/Mastercard

[  ] VISA

 

Card Number:
CVV (Visa) or CVC (MasterCard) number (this is the three digit number which follows your card number at the back of the card):
Expiration Date:
Name on Card:

 

Cardholder Signature: _________________________     

6. Complete and fax this form to +31-38-4442917 

Or mail to:

INSYTEC B.V

Hessenweg 55

NL-8051 LB Hattem

The Netherlands