ORDER
FORM
Name First: ____________ Middle:
____________ Last: ____________
Address Street: _________________________________________________
_________________________________________________
_________________________________________________
City: _________________________________________________
State: _______________ Zip: _______________________
Telephone _________________________________________________
Fax _________________________________________________
E-Mail _________________________________________________
Items for
Purchase:
|
|
|
Price (US$) |
Specify
Quantity |
Total Price |
Promotion Code |
|
ADM-32
Dual mono integrated amplifier |
each |
5,850 |
______ |
____________ |
_____ |
|
ADM-35
Five channels amplifier |
each |
6,620 |
______ |
____________ |
_____ |
|
ARMONIA Stereo integrated amplifier |
each |
4,380 |
______ |
____________ |
_____ |
|
AFS-30 Dual mono power amplifier |
each |
5,100 |
______ |
____________ |
_____ |
|
AFS-20 Stereo power amplifier |
each |
3,670 |
______ |
____________ |
_____ |
|
PTS-02 Dual preamplifier |
each |
2,930 |
______ |
____________ |
_____ |
|
ATS-30 Mono power amplifier |
the pair |
10,290 |
______ |
____________ |
_____ |
|
ATS-60
Mono power amplifier |
the pair |
11,050 |
______ |
____________ |
_____ |
|
ATS-90 Mono power amplifier |
the pair |
12,130 |
______ |
____________ |
_____ |
|
PTS-01 Mono preamplifier |
the pair |
9,900 |
______ |
____________ |
_____ |
|
GALA
Power amplifier in two units |
two units |
16,350 |
______ |
____________ |
_____ |
|
CR-1600
Line Conditioner |
each |
4,600 |
______ |
____________ |
_____ |
|
Lyra
walnut Loudspeakers |
the pair |
6,590 |
______ |
____________ |
_____ |
|
Lyra
mahogany Loudspeakers |
the pair |
7,290 |
______ |
____________ |
_____ |
|
Cetra walnut Loudspeakers |
the pair |
6,220 |
______ |
____________ |
_____ |
|
Cetra
mahogany Loudspeakers |
the pair |
6,940 |
______ |
____________ |
_____ |
|
Calamus
walnut Loudspeakers |
each |
2,340 |
______ |
____________ |
_____ |
|
Calamus
mahogany Loudspeakers |
each |
2,570 |
______ |
____________ |
_____ |
Method of
payment Check Money
Order Number: __________
(Please
make checks payable to Valentina Ross)
Date:
_____________________ Signature:
_____________________________