X-ATTACK/X-STREAM ORDER FORM

Use your credit card or send a check or money order to Radio Mall, 2412 Unity Ave. N., Dept. XAT/XSTW, Minneapolis, MN, 55422, USA. MN residents, please add sales tax. All payments must be in U.S. funds. Foreign orders, please add $15 for shipping.

___Just send X-Attack for $59

___Please send X-Attack and X-Stream together for $99.

Name_________________________________________ Company ___________________________________

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

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