Send this form 3 DAYS BEFORE MAKING THE PAYMENT. This way we can tell you if there is any problem or if any data is missing. After we confirm the order, payment can be made.
In case you notice any problem when sending this form, send us a fax or a plain text e-mail using the fax form .
Your request:
- Quantity requested of each type of license of said software:
MONOCLONAL ANTIBODY INDEX - vol.1, plus BIOMARKER INDEX vol. 1
- Previous licenses: For annual update licenses (FSU or ASU) and for "additinal site" (AS) licenses, indicate the ID code of your previous "first site" (FS), "additional site (AS) or "local network" (LN, not available at present time) licenses purchased : (Note that this is not necessary if AS licenses are purchased with the same order as FS licenses).
- Operating system of the PC site where the MAI software is going to be installed (i.e. Win98, WinXP, Win2000, etc.): . If network-connected, contact us first.
- Total amount to pay (indicate if $US or other currency): (field required)
- Payment form: Bank transfer payment order (2-4 days)* Bank cheque by mail (7-14 days)**
* Make bank transfers to Gallart Biotech SL, indicating the name of the purchaser and the order or pro-forma number, if available (to trace back the transfer). Our account number will be send on demand by e-mail. Send us a copy of the transfer (by fax or e-mail attachment) when done. ** Make bank cheques (not personal cheques) payable to Gallart Biotech SL, and send them by surface/air mail (wrapped with a copy of the printed order form or pro-forma enclosed) to: GBSL, Ap. postal 31068, 08080 Barcelona, Spain.
IMPORTANT: Pro-forma invoices are available on request and will be sent by fax or e-mail (as requested) in 1 day (if by fax, international fax number required). Pre-payment required, once confirmed the software will be delivered. Bank transfer charges are due to the purchaser.
* Value added tax: individuals (but not companies or public organizations with VAT code) resident in European Union countries have to add 16% VAT to the indicated prices. Companies or public organizations resident in the European Union and which do not have or do not indicate their VAT code will also be charged with 16% VAT.
- E-mail delivery format: ZIP file (recommended) EXE file
Your data for invoicing (complete data of the purchaser where the invoice/receipt and software will be mailed if not indicated specific delivery data for the software):
Courtesy title: Prof. Dr. Ms. Mrs. Mr. Name:
Address:
City: Zip/Postcode:
State/Province (only if necessary): Country:
Your order number/reference (if any): V.A.T. code*: (*Value added tax code/number of the purchaser. Only for customers (individuals, public organizations or companies) in European Union countries).
E-mail: (check twice)
Fax (international country code):
Your data for delivering the software (only if different from invoicing data):
Once filled, you can print this form before sending to keep a copy of your order.
Summary of the purchasing procedure: 1) Purchaser (P): Sends the order (pro-forma invoice available on request). 2) Gallart Biotech (GB): Confirms reception of the order. 3) P: Makes the payment. 4) GB: Confirms reception of the payment and sends the unregistered MAI e-books. 5) P: Obtains and sends the CSC code to register the e-books. 6) GB: Sends the RCK code to activate each e-book and the invoice/receipt of the purchase. 7) P: Introduces the RCK code to activate each e-book.
Thank you for your interest in our products.