Dedalomedia Interactive srl
B.go Padova 170
35013 - Cittadella - PD
ITALY

Phone: ++39-049-9414411
Fax:   ++39-049-9414430
http://www.dmtools.com
mailto:salesdm@dmtools.com

                            =====================
                             Software Order Form
                            =====================
                            
Fax or EMail this form to DEDALOMEDIA or use the easy and secure automated on-line 
ordering system on our web page.

                        Today's Date: ____/____/_____   

Name: _______________________________________________________________________

Company: ____________________________________________________________________

Address:_____________________________________________________________________

City:_______________  State:____ Country:_______ Zip or Postal Code: ________

Phone: (   ) _____________________________________

Fax:   (   ) _____________________________________

E-Mail Address: __________________________________ (REQUIRED)

  ******   IMPORTANT  ********
				
    Last 5 Digits of Director S/N:_____________ (Win)
    Last 5 Digits of Director S/N:_____________ (Mac)


  ****************************  

Product 	     Price  PC Vers.   MAC Vers.   Both Vers.

DMFade                        $50        $50          $79

DMTransition Pack 1           $99        $99          $149

DMTransition Pack 2           $99        $99          $149

Bundle DMPack1+DMPack2        $149       $149         $219

DMTransition Xtreme           $99        $99          $149

DM Waves effect               $69        $69          $99
       
DM Stars Field effect         $69        $69          $99

Bundle Waves + Stars fx       $99        $99          $149

     
------------------------------------------------------------------------
Mastercard __    Visa __   AmEx __    (Sorry, no C.O.D. or credit terms)

Cardholder Name (Please Print):_____________________________________

Card Number: ___________________________________________________

Expiration Date: _________________

Cardholder Signature: _____________________________________________
