ORDERFORM
 
print out and fulfill this form, then send it
        by fax to ++49/9281/74119
        (from USA i.e. use: 011 49 9281 74119)
 
Order:
 
__ "Chatz" single panel subscription
 
__ "Juris" single panel subscription (check selected)
 
for print use.
 
the order is about
 
__  5 weeks, $80
 
__ 26 weeks, $312
 
__ 52 weeks, $416   (check selected)
 
the subscription rate factor is
__ 1.0    for      1- 20,000 avg. daily subscribers
__ 1.5    for 20,000-100,000 avg. daily subscribers
__ 1.8    over       100,000 avg. daily subscribers
   (check selected)
 
the amount of payment is $ __________
(weeks price x rate factor)
 
 
Charge through credit card: (Master)
 
Card Owner:   ________________________________
 
Card Number:  ________________________________
 
Card Verification Number: ____________________
(3-digit number printed on the back of your card.
It appears after and to the right of your card number.)
 
Valid thru:   ________________________________
 
Date:         ________________________________
 
Sign:         ________________________________
 
your email:   ________________________________
 
your address: ________________________________
 
              ________________________________
 
              ________________________________
 
You will receive the images as
 
__ TIF,  __ EPS,  __ PDF on CD by mail. (check selected)
 
Thank you for your order.
Your Team at comic-cartoons.com
 
 
PS.: we use this way by fax to receive your creditcard
information as safe way avoiding abuse.
 

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