Order Form


Please fill out this order form if you want to purchase one of our Colorstar products. Thanks!


Please enter your name:
Name:
Mr Mrs Miss
Delivery address for you order:
Address:
City:
ZIP/Postal Code:
Country:
Telephone:
Fax:
E-mail:

Contents of your order:
Quantity Product Quantity Product
Colorstar 3000 Colorstar 6000
Varimatic 1500

plug voltage frequency
European
USA
UK
Other
200-240 V~
100-120 V~
50 Hz
60 Hz
if you would like different units with different voltages, plugs or frequencies, please send them through different orders.

Shipment
By Airmail. A fixed amount of $25,- is charged on your invoice.
By UPS EXPRESS or DHL. We will specify the cost on our proforma invoice.

Payment
Cheque
Money order/Bank transfer
Credit card

How do you want the order confirmed? (Tick one item, or more if required)
By E-mail to (E-mail address)
Fax me a proforma invoice to fax #:
Phone me at tel #:
Mail me a Proforma invoice to the shipping address above.


Anything we should know:




Thank you!