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Do you want the CD-ROM? [ ] Yes [ ] No
If you want the CD-ROM, please select shipping options for
the CD-ROM
[ ] Air mail (add 6.50USD)
[ ] Express international (add 33.00USD)
[ ] Express inside USA (add 20.00USD)
Payment
[ ] Credit card [ ] T/T [ ] Check/Money Order [ ]Paypal [ ] Western Union
[ ] Moneygram
Credit card information
Card Number: ______________________________ Expire Date (month/year)
__________
Card Holder Name: _________________________ Verify Code(CVV):
_________________
Billing address:
______________________________________________________________
City: ___________ State: _________ Country: __________
Zip code: ___________
You can also mail this form as well as your payment to:
INTBIT INC, PO BOX 2502 ROCKVILLE MD 20847 USA |