Direct Mail Order Form
Full name: ________________________________________________________________
Address: _________________________________________________________________
City: _____________________________________________________________________
State: ____________________________________________________________________
Zip: ______________________________________________________________________
Country: __________________________________________________________________
E-mail address: ___________________________________________________________
Product |
Quantity |
|
Price |
|
Product total |
BWTracker |
________ |
x |
$15 (or 100 SEK) |
= |
________ |
DJ DeLuxe |
________ |
x |
$25 (or 200 SEK) |
= |
________ |
TEAD |
________ |
x |
$25 (or 200 SEK) |
= |
________ |
Tracker DeLuxe |
________ |
x |
$10 (or 50 SEK) |
= |
________ |
Order total: |
________ |
The user license (and files, if any) will be sent to the e-mail address above.
Please print this form, fill it in, include your paper-money (cheques are not allowed) and send it to:
Daniel Lind
Björkvägen 25
S-907 38 Umeå
Sweden