StarGate Communication Net Order Form
Please enter the quantity for each item you would like to purchase.

Item #	Qty	Price (US$)	Shipping Cost (US$)
copy00000001		Up to 1 - 2600.00 Up to 1 - 3900.00 Up to 1 - 2500.00 Up to 1 - 1200.00	US Postal Service - 0.00 Federal Express - 0.00 UPS Air - 0.00 UPS Ground - 0.00

This disclaimer will appear on the final order screen. All of our orders have a 39-day money-back guarantee! " or Indiana residents will be charged an additional 5% sales tax" or Thanks for your order.
We fill all orders within 3 to 5 business days"

Credit Card Number: Expiration Date: mm - dd - yy

First Name:          
Last Name:           
Organization:        

Street Address 1:    
Street Address 2:    
Apartment #:         
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Zip/Postal Code:     
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Fax:                 
E-mail:              

Shipping Address:

First Name:          
Last Name:           
Organization:        

Street Address 1:    
Street Address 2:    
Apartment #:         
City:                
State/Province:      
Zip/Postal Code:     
Country:             
Phone:               
Fax:                 
E-mail: