SOFTwerk Professional Automation GmbH SOFTwerk Professional Trading Ltd. Durisolstrasse 7, A-4600 WELS / Austria tel:  +43  7242  224040 - 0 fax: +43  7242  224040 - 100 e-mail:  office@softwerk.at	www.softwerk.at
Credit card account:

Cardholder´s name:

Address:

Zip/Postal Code:                                   City:

Country:

Date:

Credit card number.:

Valid until:

Currency € / US$:                                     Amount .:

Signature:

If you want to buy in our shop with credit card, please print this form

and fax it to the following fax number:

+43  7242  224040 - 100

So we can guarantee highest security, because your data

will not be transfered over the net!

The spare parts are used and/or from residues. On the acquired goods we don´t give any warranty. If the spare parts are defect directly after receipt, the purchase price will be returned after returning the goods.