Please fill out the form carefully for your order

Note:
Before you order the PROFI version, you should already be familiar with the BASIC version and have verified the compatibility with your PHP environment!

The registration/purchase of the PROFI version of BROM BelCal^® has a cost.
The purchase price is 77,95 € including 19% VAT and is payable once. The amount includes the activation of BROM BelCal^® PROFI version, a free support and information about updates. The purchase allows unlimited installations of BROM BelCal^® on one domain. Please be sure you input the install domain! The payment of invoice made exclusively by bank transfer. You get the invoice with payment details and the personal data for the release after a brief examination of your data with a separate e-mail.

Order form

email address: Leave this field email-address blank:
Homepage: Leave this field homepage blank:
URL: Leave this field url blank:
Comment: Leave this field comment blank:

Personal data
Title:	Title: Please selectMisterMissesCompany
Prename / Surname:∗	Prename   Surname∗
Install-Domain:∗	Install-Domain∗
Order version:∗	Order version:∗ Please selectI hereby order the PROFI version for the price of € 77.95I have an older version and need update - € 0.00
My current version:	My current version
Postal / Billing Address
Company:	Company
Additional:	Additional
Street:∗	Street∗
Zip code:∗ / City:∗	Zip code∗   City∗
More information
Country:	Country: Please selectAlbaniaAndorraArmeniaAserbaijanBelgiumBosnia-HerzegovinaBulgariaDenmarkGermanyEstoniaFinlandFranceGeorgiaGreeceGreat BritainIrelandIcelandItalyCroatiaLatviaLiechtensteinLithuaniaLuxembourgMaltaMacedoniaMonacoMontenegroMacedoniaNorwayAustriaPolandPortugalRomaniaRussiaSan MarinoSwedenSwitzerlandSerbiaSlovakiaSloveniaSpainCzech RepublicTurkeyUkraineHungaryVatican CityCyprus
State / Region:	State / Region
Phone:	Phone
Phone official:	Phone official
Fax:	Fax
Mobile Phone:	Mobile Phone
Your message:	Your message
Confirmation the terms:∗	Confirmation the terms:∗  I have read the terms and conditions.
Consent:∗	Consent:∗  My data may be stored in the system and a user account to be set up.
Update-Info:	Update-Info:  I would like to receive information about version updates.
Verification:∗	Fill in the text

∗ Fields with this character are required fields.

Privacy Policy:

The servers from the provider are at a German location. The servers and the data is protected by a firewall against unauthorized access or alteration. If you provide personal information via the internet, they will be treated with due diligence and in accordance with data protection regulations.
The entire project is configured with SSL, ie a secure (encrypted) transmission. If you do not trust encryption, use the telephone or the postal service for confidential messages.

See also our data protection declaration =>