Order Form Name of the Purchaser:____________________________________________ Address: ________________________________________________________ City: _______________________ State/Prov: ________________________ Zip/Postal Code: ___________________ Country: ____________________ Tel: ___________________________ Fax: ____________________________ E-mail : _________________________________________________________ To SPJ Systems 101, Beaver Grandeur, Baner Road Pune - 411045 (INDIA) Fax: +91-20-27293003 We are pleased to place our purchase order on you as follows: No. 1 2 3 4 5 6 7 8 9 Item Code and Description SC51: C Compiler for 8051 (includes compiler, assembler, linker, IDE, simulator C-AVR: C Compiler for AVR family of micro-controllers C-AVR-N: C Compiler for AVR family of micro-controllers (non-mega) WSIM51: Simulator for 8051 (for Windows9x/NT/2000/ME/XP) WSIM85: Simulator for 8085 (for Windows9x/NT/2000/ME/XP) Mini51-P (P89C51RD2) Any one of: Mini51-P8 (P89C668) Mini51-P9 (P89C669) Mini51-U (DS89C420) SBC51-A (AT89C52) Any one of: SBC51-P (P89C51RD2) SBC51-U (DS89C420) Add Price US$ 225.00 Qty. Amount (US$) US$ 225.00 US$ 149.00 US$ 69.95 US$ 69.95 US$ US$ 90.00 99.00 US$ 118.00 US$ 126.00 Shipping Charges Total 50.00 Please accept the total payment of US$ _______ by MasterCard / Visa. (Please strike-out whichever is not applicable) Name of the Card Holder : _______________________________ Date of birth(dd/mm/yyyy): __ __ ____ Card number : ____ ____ ____ ____ Card expiry date(mm/yyyy): __ ____ OR Enclosed please find a Cheque / Demand Draft no._____________ drawn in favour of SPJ Systems for the amount US$ _______ OR We have sent the entire payment of U.S.$ _______ to your bank account via our bank __________ on dd/mm/yyyy. (Please print only one of the above three) Date: _________________ Signed: _______________________________ Acknowledgement (Please print, sign and fax us this part only after you receive the ordered software by UPS / by e-mail.) Name of the Purchaser:________________________________________ (Please write the same name as you wrote in the order form) Name of the Card Holder : _______________________________ (Please write the same name as you wrote in the order form, only if you ordered the software using credit card. In case of other modes of payment, leave it blank.) I / We have received the ordered software by UPS / by e-mail in good order. Thank you. Date: _________________ Signed: _______________________________ (by the Purchaser) (If the purchaser is a company / organization, please also imprint the company / organization’s stamp.) Signed: _______________________________ (by the Card Holder) (Only if you ordered the software using credit card)