PLATON For-profit User License Registration Form

Title/name:

Postal address:

Fax:

Email :

[ _ ] I wish to license PLATON for use at the following for-profit organisation. I agree to pay (see below) the license fee of 5000 Euro or 5000 US$. This license fee covers the use of PLATON (including updates obtained from the PLATON Website or its mirrors) for an unlimited time on an unlimited number of computers of any type at one geographical location:

[ _ ] I understand that PLATON is a research-driven program and updated accordingly;
[ _ ] I agree that the author or his organisation has no liability for any damage or loss caused by the programs;
[ _ ] Please send me a receipt for enclosed cheque;
[ _ ] Please send me an invoice;
[ - ] The licence fee has been transferred to the account given below

Signed, date:

This form should be returned by regular Post or FAX to

Prof.Dr.A.L.Spek
Bijvoet Centre for Biomolecular Research
Utrecht University
Padualaan 8
3584 CH Utrecht
The Netherlands

FAX: (+31) 30 2533940

Banktransfer

Amount: 5000 US $ or 5000 Euro

Account: ABN-AMRO 558887767

Utrecht University, Faculteit Scheikunde, Sorbonnelaan 16, 3584 CA Utrecht, The Netherlands.

Order Nr: 07 4710005 (K+S/Spek)