This form may be used for ordering. Please print this page (or cut and paste) and fill it in clearly. Send it to us by fax, mail, or email.
Your name____________________________________________________________________________
Organization/Company__________________________________________________________________
Email (type clearly)_____________________________________________________________________
Mail address___________________________________________________________________________
Zip____________________ Town____________________________ Country_______________________
Phone__________________________________ Fax___________________________________________
WWW
homepage_______________________________________________________________________
ORDERED PROGRAMS (check box to the left)
( ) HEAT2 & HEAT3 Package license $1200
( ) HEAT2 license $700
( ) HEAT3 license $900
- Prices above are for a single user license, manuals are free to download in PDF-format (Adobe
Acrobat).
- Installation files for the above programs are sent by email within a few days. Make sure that your email is given
above.
( ) Other (specify)_______________________________________________________
$________
( ) Other (specify)_______________________________________________________
$________
Total $________
SELECT PAYMENT ALTERNATIVE:
1. ( ) Pay by credit card: ( )MasterCard
( )VISA ( )AMEX
( )DINERS
Card number:_______________________________________________________________________
Expiration date: month:_______________
/ year:______________
Name of cardholder:_________________________________________________________________
2. ( ) Send invoice
-Invoice sent by mail, 21 days net, you pay the fees of your bank. This option may only be checked by universities, companies with more than
20 employees, and already known customers.
3. ( ) Prepay by sending check or bank transfer. Please contact us
for more information.
Please sign your name:_______________________________________________ Date:___________
Type your name clearly:_______________________________________________________________
USER INFORMATION
Where did you hear about our products?_______________________________________________
BLOCON SWEDEN, Iliongr. 159, S-224 72 Lund, Sweden, Fax: +46 46-136264
BLOCON USA, 27 Hillcrest Rd, Reading, MA 01867, USA, Fax: +1
702 974 5432
www.buildingphysics.com, www.blocon.se,
www.blocon.com, Email: info@blocon.se
(Ver 050122)