OverDig 1.1 Order Form

"Baltic Advanced Technologies", Ltd.                  
Fax to: (+371) 7229859
E-mail to:info@batsoft.com


The registration contact person is the person to whom information on 
licensing, upgrades etc. should be sent.
Name:________________________________________________________
Department:__________________________________________________
Organisation:________________________________________________
Street address:______________________________________________
City:_____________________________  State:___________________
Zip/Postal code:__________________  Country:_________________
Telehone:_________________________  Fax:_____________________
E-mail address:______________________________________________

Method of payment:  
_________(Mastercard,  Visa,  Direct wire transfer,  Cheque)

Credit card number(if you pay with a card)___________________
Cardholders name (if different from name above)______________
Bank that issued the card:___________________________________
Card expiration date (MM/YY):____/____

Ordering list:  Description         Price        QTY       Total 
OverDig 1.1______________________   ____________  ______   ____________
_________________________________   ____________  ______   ____________
 Shipment on 3.5 inch media  ___-   10 US_______  ______   ____________
                                                 Total sum:____________
Any additional comments: 
_______________________________________________________________________
_______________________________________________________________________

Agree on licence conditions:________(Yes/No)

           Date:_________     Signature:__________________________
