Fax Order

Fax to: International Fax. +46 46 13 96 39, Domestic Fax. 046 13 96 39

Payment and Shipping Information

Order Specification
(Note you must calculate the price below manually) Remeber to include a shipping fee. The shipping fee is independent of the order volume.

Item #Items
Cost per Item
Sum
SG100 Developer
EUR
EUR
SG100 Runtime
EUR
EUR
R210-USB EUR
EUR
R300A-SMT units EUR
EUR
Shipping Cost
EUR

Total Cost:

EUR

Destination
Sweden and Europe USA andCanada Asia and other countries

Shipping Method
EMS UPS On Customer's Account (EUR 30)

Type of Payment
Credit Card Company Check Bank Transfer (SWIFT)

Credit Card Info (If Credit Card selected)

Visa
MasterCard
EuroCard

Number:

Exp: /
Card holder:

Shipping Information

Name:

Company Name:

Phone: ( )

Fax (optional): ( 

Email Address:

Shipping Address (Street, Zip, Country etc):

Country: