Herewith you will place a binding order for fully functional samples of our InstantVoiceMemo's with 1 GB memory and in the colour white at a net price of 20,- Euro per piece (the colours black and red are also available, please mention it as comment below if you would like to have one of these colours).

Please understand that we will deliver without a valid credit card only in case you are already a customer of us or against prepayment (we will send you if applicable a pro forma invoice accordingly by Email).
     
1) Billing address: 2) Sample order:
Samples according this conditions can only be delivered to companies!

* required fields

** Within the EU we need your VAT number for a tax free shipment.

The transportation costs are already included in the sample price.
Title:*
First name:*

 
Family name:* 3) Credit card payment (optional):
Company name:* Credit card:
VAT number:** Number:
Street & number:* Expiry month:
City:* Expiry year:
Postal code:* Security number:
Country:*  
Email:*
Telephon: Yes, please keep me informed about news!

What you want to tell us additionally:
(e. g. a different delivery address)