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Order Form
Dear Web visitor, fill it out this form, print it and you can mail it or fax it.

Micro Direct Intl.
220 California Ave - Ste 250
Palo Alto, CA 94306
Fax: +1-650-325-1 ZERO 81

Thank you very much.

Please, do enter your exact billing address for your credit card (where you get your statements).
It will let us serve you faster
We gladly accept Visa, Mastercard/Eurocard and Discover.
Name:
Billing Address:
Billing Address:
City:
State:
Zip Code:
Country:
Tel:
Fax:
Email:
(For order confirm.)
I want to join Your emailing list:
Item
/Description:
Manufacturer:
Quantity:
Price:
Plateform
Shipping Method: (*)
Exact Name on card:
Card No:
Exp. Date:
Last 3 digits on back of CC:
Signature:  
 
(*) Shipping: Overnite AM or PM (USA) - 2Day (USA) - UPS Ground (USA)
DHL (International) - Express Airmail (International) - Priority mail (APO/FPO)
For full terms and conditions click on FAQ. Thank you
All prices are FOB origin. Freight charges, taxes and/or duties if applicable are the responsability of the purchaser.
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