ZHANGMEN 2012
ACUPUNCTURE SOFTWARE FAX/MAIL ORDER FORM

After you've filled it in, you can print this order form by clicking this CLICK HERE TO PRINT THE ORDER FORM icon or by using the 'Ctrl-P' keys.
Please fax or mail this form to the address below
(Only correctly filled in forms with a signature will be accepted, if emailing is a problem please phone *31-50-3128718 )

YES, I ORDER ZHANGMEN


Name           : 
Address        : 
City           :  State  : 
Zip code       :  Country: 
Phone number   :  Fax no : 
E-Mail Address : 

(*)  Zhangmen 10 BASIC (WIN)               Download   (US$ 169.00 /  139.00)
(*)  Zhangmen 10 PRO (+Data Module) (WIN)  Download   (US$ 199.00 /  189.00)
(*)  Zhangmen 10 BASIC (WIN)               CD-ROM     (US$ 199.00 /  179.00)
(*)  Zhangmen 10 PRO (+ Data Module)(WIN)  CD-ROM     (US$ 249.00 /  229.00)
(*)  Zhangmen 10 Data Module (WIN)         Download   (US$ 85.00  /   75.00)
(*)  Zhangmen 10 for Student Version(WIN)  Download   (US$ 139.00 /  129.00)
(*)  Zhangmen 10 upgrade for registered users Download(US$  99.00 /   99.00)
                                 (For student version please add proof of acupuncture studentship) 

          WINDOWS NT/2000/XP/2003        WINDOWS 7, VISTA  (*)     
(*) Please mark the wanted version with a . Price includes taxes and shipping.

Name:                       Signature:                          Date:
                                                                                                          

YOU CAN ALSO SAFELY ORDER AND PAY ONLINE BY GOING TO OR WEBSHOP USING YOUR CREDITCARD OR PAYPAL.
DO NOT SEND US THE CREDITCARD DATA BY E-MAIL. 


Card type     : VISA AMEX MASTERCARD JCB CUP  (*) Please mark wanted card with 
Name (on card): 
Cardnumber    :  .  .  .  (4 digits per box please)
Expiring date :          CVC Code(*) 
                             4-digit AMEX Code(*)

(*) CVC Code for VISA Cards only: last three digits of number on signature strip on the back of your VISA Card
 (*) 4 Digit AMEX code for Amex, JCB and CUP Cards only: 4 digits of number on signature strip on The 4-digit number printed on the Card just above the account number (see picture)

(Please fill-in, print, sign, scan and email to zhangmen@factsoft.nl or mail. If this is a problem please phone *31-50-3128718 )


After we receive this form and payment has arrived at our office (or authorization is given by your credit card company) we'll deliver the software to you. You can pay several ways:
  1. Using our Webshop to securely order  online
  2. Via Visa, Mastercard, JCB, CUP or American Express (Fax us your name/cardnumber/expiring date/CVC code)
  3. Via bank account no 94.63.62.602 of the SNS bank Groningen the Netherlands made payable to F-ACT
    SWIFT / BIC nr = SNSBNL2A IBAN = NL87SNSB 0946362602
  4. Via checque made payable to F-ACT

Please fill in this form completely and sign it. Please send or fax to:
F-ACT I.C.T.
Marsmanlaan 20
9721 XV Groningen
the Netherlands
Fax : *31-50-5266740
If any problems may arise please feel free to phone :
 *31-50-3128718 or *31-6-22995590
* = international entry number (in most cases 00)
You can print this order form by clicking this icon CLICK HERE TO PRINT THE ORDER FORM

The software will be shipped immediately after we've received the payment or after we've received authorization from your credit card company. If you've ordered the download version, download URL's and passwords will be sent to the mentioned e-mail address within 1-3 working days. CD-ROM shipment might take 2 weeks all over the world. The software will be send by priority mail. Prices include taxes and shipping costs.