We hereby request you to supply the

We hereby request you to supply the following number of PHAST software package(s). We understand that the software package(s) shall be supplied under DNV’s standard terms and conditions that will be delivered together with the software package.
Please supply ............................ PHAST package(s):
Full Support & Free Upgrades Package Contract....... 
Purchase Order No. ____________________________
Please specify which platform software is to be installed, i.e. Windows NT / 2000 / ME / XP / other (please specify):
Full name of company/organisation (“the Licensee”) ________________________________________ VAT No. _______________________ (EEC only) Address : _________________________________
________________________________________ _____________________________________________ 
       ________________________________________ Total Order Value USD__________________________

Method of Payment
Telephone No_____________________________
International Money Order 
 Telefax No________________________________
Signed for and on behalf of the above company/organisation ______________________Date__________________ Name of signatory clearly printed________________________________________Title______________________ Name of principal user or contact person if different___________________________________________________