Marine Radio Control Order Form
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Please include your email address if you would also like to 
receive your serial number and activation key by email.  

Name:_____________________________________________________________

Call Sign:_____________	

Email address: ___________________________________________________

Street Address:___________________________________________________

City:_____________________________________________________________

State or Province:____________________  Country:__________________

Zip code or Country code:_____________  Phone No.:________________


____ Number of Marine Radio Control copies

____ Email me my serial number

____ Send software on CD
     (US $79.95 plus $10 shipping and handling)

____ Send software on CD
     (US $129.95 plus $10 shipping and handling)

____ Marine Radio Control Printed Manual
     (US $15.00 with software purchase; 
      US $20.00 plus $10.00 shipping and handling alone)

** Shipping and handling added to all shipped orders. 
Domestic shipments: $10.00 software, manuals and cables
Contact us for shipments to other destinations.

I am paying by (check one):

___ Check (US banks only)  ____ Money Order (US $ only)

___ MasterCard  ___ VISA   ____ Discover Card

If paying by Credit Card, complete the following.

Credit Card Number: _______________________________

Name on credit card: ______________________________

Expiration date: ________________

Signature: ________________________________________

Credit Card Billing Address if different from shipping address:
Street Address:___________________________________________________
City:_____________________________________________________________
State or Province:____________________  Country:__________________
Zip code or Country code:_____________  


Payment can be sent by surface mail or FAX to:

Creative Services Software, Inc.
503 W. State Street, Suite 4
Muscle Shoals, AL 35661, USA
Telephone: 256-381-6100
FAX: 256-381-6121

If you need additional information or have questions,
contact by email at the following address.
Email: sales@cssincorp.com