Order form for SpecTool 2.1
===========================

Send to: Chemical Concepts GmbH  Tel: +49 (0)6201-606 433
         Boschstraße 12          Fax: +49 (0)6201-606 430
         D-69469 Weinheim        E-mail:spectool@cc.wiley-vch.de
         Fed. Rep. of Germany

I herewith order (please mark as appropriate):

One copy of SpecTool 2.1          One copy of SpecLib 
(  ) Industry   .. DM 1.500,-     (  ) Industry   .. DM 1.500,-
(  ) Education  .. DM 1.000,-     (  ) Education  .. DM 1.000,-
(  ) Student    .. DM   195,-

One copy of a Structure Generator
(  ) Industry  .. DM   800,-
(  ) Education .. DM   550,-
(  ) Student   .. DM   150,- 

(Note: Prices as per June 1997. Prices exclude applicable
taxes. Prices subject to change without notice.)
  
CUSTOMER / DELIVERY ADDRESS
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Name .................... : .  .  .  .  .  .  .  .  .  .  .

Company / Institution ... : .  .  .  .  .  .  .  .  .  .  .

Address ................. : .  .  .  .  .  .  .  .  .  .  .

Address ( continued ) ... : .  .  .  .  .  .  .  .  .  .  .

City / Country .......... : .  .  .  .  .  .  .  .  .  .  .

Telephone / Fax ......... : .  .  .  .  .  .  .  .  .  .  .

Our Purchase Order No. .. : .  .  .  .  .  .  .  .  .  .  .

BILLING ADDRESS (IF DIFFERENT FROM DELIVERY ADDRESS)
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Name .................... : .  .  .  .  .  .  .  .  .  .  .

Company / Institution ... : .  .  .  .  .  .  .  .  .  .  .

Address ................. : .  .  .  .  .  .  .  .  .  .  .

Address ( continued ) ... : .  .  .  .  .  .  .  .  .  .  .

City / Country .......... : .  .  .  .  .  .  .  .  .  .  .

Date: .  .  .  . Signature: .  .  .  .  .  .  .  .  .  .  .