| CyberMouse ® Online-Order Form | |
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| I would like to order hereby: | |
| a:) | |
| Pieces of |
CyberMouse® , Type - Serial - for the Price of: outside Germany: = U$ 30, inside Germany: = DM 59,00 + MwSt |
| b:) | |
| Pieces of |
CyberMouse® , Type - USB - for the Price of: outside Germany: = U$ 40, inside Germany: = DM 79,00 + MwSt |
| Attention: the USB-Version works under Win98 or Win2000/NT5 only! | |
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for shipping and handling cost you will receive a PROFORMA INVOICE as email a.s.a.p.
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| Enter your personal data into the form's fields: | |
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| Company: | |
| Name: | |
| First name: | |
| Street: | |
| Country/City: | |
| Phone: | |
| Fax: | |
| If you enter your *valid* Email in the field below you will receive a copy of your order into your Email-Box! | |
| eMail: | |
| Special Order/Comments: | |
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| Payment options: |
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| If selected "Payment per Credit Card" - enter your details here: | |
| Name on Card: | |
| Card Number: | |
| Expires (MM/YY): | |
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If you pay via credit card, we will send out the next day | |
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