ORDER FORM THE FILMCALCULATOR SOFTWARE
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Name:

Company:

Address:



Zipcode:

City:

Country:

Phone:

Fax:

Email:

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Credit card number:

Expiration date:

If you live in the E.C. and you want a VAT-free delivery:

Your VAT number:

Please send me an invoice   Yes / No
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Order for:

 ____  Filmcalculators for the Series 5 Internet version ($175)

 ____  Filmcalculators for the Series 5 boxed version with manual ($199 incl. shipping)

I am upgrading from:

 ____  The Shareware version for the Series 3 ($50 rebate)
 
 ____  The SSD version for the Series 3 ($75 rebate after sending the SSD to Zebra Film)

Hereby I authorise Zebra Film to charge my Credit Card for the amount of: $ _____ or the equivalent in Guilders

Signature:



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Fax or Email to:

Zebra Film
Sloterweg 1257
1066 CJ  Amsterdam
The Netherland
Fax:   +31 20 4082339
Email: zebra@xs4all.nl