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Deep Sky Technologies Order Form for Resellers

Please fill out the order form as completely as possible. Required fields are marked with an asterisk (*).

Reseller Information
Company Name:
* Your Full Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
* Email Address:
Phone Number:
Fax Number:
* Credit Card Type:	American Express Mastercard Visa
* Credit Card Number:
* Expiration Date:
End Customer Information
Shipping Address for
Company Name:
* Full Name:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
* Email Address:
Phone Number:

Rest assured that your credit card and personal information is kept private, and no charges are made against your credit card without first receiving your permission for the exact amount to be charged. Under no circumstances does Deep Sky Technologies, Inc., sell, rent, or release customer information to any parties or individuals. If you have any questions or problems regarding these issues, feel free to contact us at your earliest convenience.