HD  CineMate-20  Order Form
NTSC cameras only

Equipment shipped to physical addresses ONLY.      No Post Office boxes, please.

Please print neatly. This is the address that we will be shipping your unit to.

Name:_________________________________   Company:_______________________________

Day phone:_________________________________(if international, please include country code)

Email address:___________________________@______________________________________

Street______________________________________________  Apartment or Suite #__________

City:   ___________________________________  State/Province__________________________

Country _______________________________________        Postal Code (zip) _______________

----------------------------------------------------------------------------------------------------------------------------------------------------------------

Payment method: (please circle)

PayPal         Cashier's Check         Company Check        Wire Transfer
 

Exact amount of payment, including shipping and any wire transfer fees $__________________
 

Date payment sent:_____________  Date payment received:___________________
                                                                                                                        (do not fill in)
----------------------------------------------------------------------------------------------------------------------------------------------------------------

I would like this unit to be calibrated for: (please circle)

REG 8mmSUPER 8mmREG 8mm + SUPER 8mm
 

The following must be signed for your order to be scheduled.

I have read the Pre-Order Information Page_________________________