Please print out this sheet and fax back to us. Or feel free to use our E-Mail-Form

Fax: (+)49-3681-42521 (Germany)



Fax Order

I will order ___ piece(s) of your CDROM "Airbrush & Bodypainting" 
($29,- each, plus shipping / handling).

Please send the CDROM(s) to the following address:



Name:            _______________________________________________________

Company:         _______________________________________________________

Type of Business:_______________________________________________________

Country / City:  _______________________________________________________

ZIP-Code/Address:_______________________________________________________

Phone/Fax:       _______________________________________________________



Type of credit card:    o VISA    o EuroCard    o MasterCard    o Diners
(please check one)
Number of credit card:________________________________, valid thru: ____
(only the last 8 digits in case of ordering by email/fax version)
The name on the card & signature:_______________________________________
Back!
©1996 MultiScan Multimedia / All rights reserved / modified 13-Feb-1997 by André Gressler
Fuhrmannstraße 18, D-98528 Suhl-Goldlauter, Germany, Fax (+49)(3681)42521
The name of this document: http://www.multiscan.com/cdrom/fax-e.html