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Order Products

To order products please fill out the form below.
After I receive the money, I will send you the products.

Please choose in the field 'payment' how you would like to pay:

If you choose 'by Bank', leave the field 'Creditcard number' empty.
I will send you my Bank information by e-mail.
Click the button 'order by e-mail' and the order will be send to me by e-mail automatically.

If you choose 'by Creditcard', be aware that to send your Creditcard information by e-mail is not secure.
You can send me a fax. To do that click the button 'order by fax' and print the created fax.

Please write in the field 'order' the following information:

- product name and number (look on the link products)
- number of products

Thank you for your order.
Roger Latham



*name:
*first name:
*street:
*postal code:
*city/state:
*country:
*phone:
fax:
*e-mail:
*payment: by Creditcard by Bank
(*)creditcard:
(*)creditcard number:
*order:
  
* Required fields
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