Wave2000/2000
Plus, Wave2500, Wave3000/3000 Plus
Order Form |
Promo Code: W3x00New2/1 |
Please Note: |
- This form is for worldwide
orders excluding Japan.
- If ordering from within Japan, please contact Imaging Supersonic Laboratories.
- CyberLogic accepts Visa
and MasterCard.
- All check or money orders
must be in US funds and included with the order form.
- E-mail us at sales@cyberlogic.org for information
on bank wire transfer (necessary if either credit card or check
or money order in USD are not available), as all orders must be
prepaid.
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Bill To:
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First Name: _________________________ Last Name: __________________________
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Company Name: __________________________________________________________
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Address: ________________________________________________________________
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City: ________________________________________ State/Province: _____________
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Zip/Postal Code: ______________________ Country: ___________________________
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Phone: ________________________ E-mail*: _________________________________
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Ship To: Check
if same as Bill To: information
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First Name: _________________________ Last Name: __________________________
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Company Name: __________________________________________________________
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Address: ________________________________________________________________
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City: ________________________________________ State/Province: _____________
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Zip/Postal Code: ______________________ Country: ___________________________
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Phone: ________________________ E-mail*: _________________________________
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PRODUCT
*
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QTY
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INSTALLATIONS
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PRICE/YEAR
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YEARS
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TOTAL
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Wave2000/2000 Plus (circle which
one)
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$
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Wave2500
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$
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Wave3000/3000 Plus (circle which one)
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$
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SHIPPING & HANDLING
(No charges)
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TOTAL
(USD)
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$0.00
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*All software and license(s) will
be downloaded from the web once your order is processed. You will receive
an email with directions on how to download and install your software
and obtain your license(s). Please be sure to include your correct
email address on this form.
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Mail To:
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CyberLogic, Inc.
Attn: Orders
611 Broadway, Suite 707
New York, NY 10012 USA
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Fax To:
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(212) 260-1353
Attn: Orders
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If you have any questions please contact CyberLogic at
212-260-1351 9am-5pm EST M-F or e-mail sales@cyberlogic.org
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or Download PDF file
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