Colorstar - darkroom order form

Order Form

Please fill out this order form if you want to purchase one of our Colorstar products. Thanks!

Please enter your name:

Name:

Mr Mrs Miss

Delivery address for you order:

Address:

City:

ZIP/Postal Code:

Country:

Telephone:

Fax:

E-mail:

Contents of your order:

Quantity Product Quantity Product

Colorstar 3000 Colorstar 6000

Varimatic 1500

plug voltage frequency

European
USA
UK
Other 200-240 V~
100-120 V~ 50 Hz
60 Hz

if you would like different units with different voltages, plugs or frequencies, please send them through different orders.

Shipment

By Airmail. A fixed amount of $25,- is charged on your invoice.
By UPS EXPRESS or DHL. We will specify the cost on our proforma invoice.

Payment

Cheque
Money order/Bank transfer
Credit card

How do you want the order confirmed? (Tick one item, or more if required)

By E-mail to (E-mail address)
Fax me a proforma invoice to fax #:
Phone me at tel #:
Mail me a Proforma invoice to the shipping address above.

Anything we should know:

Thank you!

Please enter your name:
Name:
Mr Mrs Miss
Delivery address for you order:
Address:
City:
ZIP/Postal Code:
Country:
Telephone:
Fax:
E-mail:

Quantity	Product	Quantity	Product
	Colorstar 3000		Colorstar 6000
	Varimatic 1500

plug	voltage	frequency
European USA UK Other	200-240 V~ 100-120 V~	50 Hz 60 Hz
if you would like different units with different voltages, plugs or frequencies, please send them through different orders.