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====   MAI ORDER BY FAX (print) OR E-MAIL (copy & paste)   ====
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Please, fill in the following fields of the MONOCLONAL ANTIBODY
INDEX (MAI) order form (one for each volume):

1) Quantity of each type of licenses of said software requested:
   
     MAI volume 1: FS:__ , AS:__, FSU:__, ASU:__           
     MAI volume 2: FS:__ , AS:__, FSU:__, ASU:__    
     MAI volumes 1 and 2, FS licenses (special offer):__
     VAI (Vaccine Antigen Index):FS:__ , AS:__, FSU:__, ASU:__

   "Additional site" (AS) licenses (see below and up to 2 per 
each FS license of a current edition) 
   "First site update" (FSU) licenses (one per each FS license 
of a previous edition)
   "Additional site update" (ASU) licenses (one per each AS 
license of a previous edition)
   
2) 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 :_________________  
(Note that this is not necessary if AS licenses are purchased 
with the same order as FS licenses). 


3) Total amount to pay (indicate if $US or euro):_________ 

4) Form of payment (mark with X): __Bank transfer*  __Cheque**

5) Your data for invoicing:

   Courtesy title:         Name:
   Address:                                   
   City:                                  Zip/Postcode:            
   State/Province:                        Country:         
   E-mail:                               Fax (intl.):+
   VAT number*:                      

*Value added tax number is onnly for customers (individuals or 
companies) of the European Union).

6) Your data for mailing (only if different from invoicing data):

   Courtesy title:        Name:
   E-mail:                            Fax (intl.):+

   
7) Softwre delivery form. E-mail EXE:__    E-mail ZIP:__    


8) Indicate the operating system of the PC where the MAI software
 is going to be installed (i.e. Win98, WinXP, Win2000, etc.):_____ 

   
If this order form is sent, you must receive the MONOCLONAL 
ANTIBODY INDEX software, and the receipt of your purchase, 
within 15 days after we receive the payment. If not, contact us.


(cut here to send)-----------------------------------------------------------------------


* 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). 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 cheques payable to Gallart Biotech SL, and 
send them (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 in order to receive the software. 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. 



ORDERS AND INQUIRIES:
=====================

Gallart Biotech SL. 
Ap. postal 31068, 08080 Barcelona, Spain.
E-mail: webmaster@gallartinternet.com
http://www.gallartinternet.com/mai