On-Line Order Form at DreamLAN.com

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DreamLAN.com Home � Buy � Order Form

DreamLAN.com | A posse ad esse : Creating dream solutions

DreamLAN.com Home � Buy � Order Form

DreamLAN.com | A posse ad esse : Creating dream solutions

Cardholder authorization signature: ______________________________

For first-time credit card order, please print this page, sign below, and
FAX it to us at +1 905.887.3836; our credit card processor requires that
we have your signature on-file. Thank you! (Please also "Submit" the
above form as that will help to verify your email address)

We have centralized the price list in order to
minimize price discrepancies in different documents
and to reduce the amount of work, thus error,
involved in keeping the various product prices
up-to-date.

Orders placed using this form are billed based
either on the current price list or the price quote
issued.

Instead of including them in the form above, you may choose to put your credit card
information here:

Cardholder name:
Card type:
Card Number:
Expiration date (mm/yyyy):
Security code:

It is currently not possible to print (or even correctly print-preview) a web page containing both
HTML and Flash objects, such as this page, using FireFox or Opera. You need IE6/SP1 or later to
correctly print this page.

If your Purchase
Order term is more
than 30-days,
please contact us
first before placing
your order.

Thank you!

If you disabled Flash, you can use this text order form instead.)