MCT Paul & Scherer Mikrocomputertechnik GmbH Dorfstr. 4-6 D-17495 Ranzin, Germany Phone : +49 (0)38355 68 740 FAX : +49 (0)38355 61 437 Internet : www.mct.net Geschaeftsfuehrer: Ing. (grad.) E. Scherer, Dipl.-Inform. H.-D. Paul Handelsregister: HRB 28538, AG Berlin-Charlottenburg Umsatz-St.-ID: DE 136 638 216 M C T O r d e r F o r m Product Price Quantity Amount ______________________________ EUR ________.__ ______ EUR ________.__ ______________________________ EUR ________.__ ______ EUR ________.__ ______________________________ EUR ________.__ ______ EUR ________.__ ______________________________ EUR ________.__ ______ EUR ________.__ ______________________________ EUR ________.__ ______ EUR ________.__ Total amount (VAT and shipment not included) EUR ________.__ Name: ________________________________________________________ Registation # (if existing): _________________________________ Company: _____________________________________________________ Street: ______________________________________________________ ZIP-code, City: ______________________________________________ Phone: _______________________ FAX: ________________________ eMail: _______________________________________________________ When ordering from EU countries TAX-ID #: _____________________________ Payment: (_) On account (_) C.O.D. (_) Advance payment (2% discount)