Please fill out and print the following order form:
B.A.T.L Advanced Technology, Ltd.
20 Hanasi
Hadera, 38131 Israel
P.O Box 3121
B.A.T.L Order Form - Credit Card payment
Sales: (972) 462-47637
Fax: (972) 462-48228
sales@batl.com
Please complete the following information and fax or mail this form.
Name:
Address:
Title:
Company:
City:
Phone:
State/Province:
Fax:
Postal Code:
E-Mail:
Country:
Number of
GTW420 Pro Licenses
Cost per License
$
Subtotal
$
Number of GTW420 Licenses
Cost per License
$
Subtotal
$
Total
$
B.A.T.L accepts Visa, MasterCard, American Express cards.
Credit Card Number
Exp. Date
Cardholder Name
Card Type
Signature: _________________________