Full Name:
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Contact person:
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Street:
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Zip, City:
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Country:
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E-Mail or Fax: 
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    Star-Tools International         Star-Tools GmbH
    - Sales -                        - Sales -
    P.O. Box 339                     Hopfenweg 207
    Dewey, AZ 86327                  D - 22851 Norderstedt
    USA                              Germany

    Fax: +1 (775) 522 5355           Fax: +49 40 52950607


O R D E R :

    Licence(s) Bootmanager BOOTSTAR each US$ 20.00  US$     .00
---  (Please fill in the number of systems)

( ) Registration Key, Invoice via E-Mail US$  0.00  US$     .00
( ) Registration Key, Invoice via Fax    US$  5.00  US$     .00
( ) Disk, Invoice via postal mail        US$ 10.00  US$     .00
                                                    -----------
      Total                                         US$     .00
                                                    ===========
Payment Options:

( ) Cash (not a draft) in advance
                                   ----------------------------
( ) VISA                            Card owner

( ) Euro-/MasterCard
                                   ----------------------------
( ) American Express                Card number

( ) After receiving Invoice
    (only to companies, min.       ----------------------------
     of US$ 100.00, shipping        Expire date
     only via postal mail)


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                      Date          Signature (Card owner)