GATEWAY SFX ORDER FORM:

Use your credit card or send a check or money order for $69 to Radio Mall, 2412 Unity Ave. N., Dept. GFXW, Minneapolis, MN, 55422, USA. MN residents, please add sales tax. All payments must be in U.S. funds. Foreign orders, Please add $40 for shipping.

Name_________________________________________ Company ___________________________________

Address___________________________________________________________________________________

City, State, Zip__________________________________________________ Country ____________________

Phone________________________ FAX________________________ E-Mail__________________________

____VISA ____ MasterCard ____ American Express/Optima ____Discover

Card#__________________________________ Exp. Date______Signature___________________________

Credit card security code________

How you found our web site________________________________________________________________

For credit card orders, phone or FAX 763-522-6256

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