Congratulations on choosing DialMate for your telecommunication
needs. Please fill out the form below and mail or fax it to us.
Product prices are:
DialMate
CM1001
$169.00
DialMate
CM1002
$189.00
DialMate CM1003
$129.00
DialMate CM2000
$269.00
Customized DialMate (please call or email us!)
Add shipping/handling $ 9.55/pc.
California residents add 8.75% sales tax.
SHIPPING ADDRESS:
NAME____________________________________________________________
STREET__________________________________________________________
CITY______________________________STATE______ZIP CODE __________PHONE NUMBER _________________
E-MAIL ADDRESS ______________________
METHOD of PAYMENT:
___Check or Money Order
___Credit Card:
_____Visa Number___________________________exp.date_________
_____Master Card Number____________________exp.date_________
_____Discover Number_______________________exp.date_________
Name appearing on Card______________________________________
SIGNATURE___________________________________________________