General Extension ORDER FORM

Use your credit card or send a check or money order for $795 (which includes free shipping worldwide) to Radio Mall, 2412 Unity Ave. N., Dept. EXTW, Minneapolis, MN, 55422, USA. MN residents, please add sales tax. All payments must be in U.S. funds.

Name_________________________________________ Company ___________________________________

Street Address______________________________________________________________________________

City, State, Zip___________________________________________ Country___________________________

Phone________________________ FAX________________________ E-Mail__________________________

How you found us__________________________________________________________________________

____VISA ____ MasterCard ____ American Express/Optima ____Discover 

Card#__________________________________ Exp.Date______Signature_____________________CCID_____

For credit card orders, phone or FAX 763-522-6256 or 800-759-4561.