Motor Kit Form
Please circle the following
I have a:
CineMateWorkPrinterSniper
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.
If
sending unit, tape a copy of this completed form to your cover
BEFORE
you wrap or package in a box for shipping.
Failure
to do so may result in a delay of your motor kit.
Equipment:__________________________________________________________________
Name:_________________________________ Company:_______________________________
Day phone:_________________________________(if international, please include country code)
Email address:___________________________@______________________________________
Street______________________________________________ Apartment or Suite #__________
City: ___________________________________ State/Province__________________________
Country _______________________________________ Postal Code (zip) _______________
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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)
NOTES: