(Don't forget to specify your e-mail address)
Order
Send to
Descartes-Media Roland Wejner, Neumarktstrasse 12, D-38108 Braunschweig (Germany)
| Descartes-Media D-38108 Braunschweig (Germany) |
| School: (if available) |
__________________________________________________________________________ |
| First name/name: |
__________________________________________________________________________ |
| Street: | __________________________________________________________________________ |
| ZIP-Code: |
_____________________ City:___________________Country:_______________________ |
| Telephon number : | ___________________________________ |
| e-Mail: | ___________________________________ |
|
Please inform me of
updates (Don't forget to specify your e-mail address) |
Hereby I/we would like to order:
| Quantity | Product | Description | Price (Euro) | Total (Euro) |
| Descartes3D | Private license (only for individuals) | 49,- |
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| Descartes3D | School license | 159,- |
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| 3D-Glasses | Red-Cyan (20 and more per piece: 0,85 EUR) | 0,95 |
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| 3D-Glasses | Red-Green (20 and more per piece: 0,85 EUR) | 0,95 |
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| 3D-Glasses | Pulfrich (20 and more per piece: 0,85 EUR) | 0,95 |
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| Subtotal | ||||
| Shipping and handling | 3,00 |
3,00 |
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| Total | ||||
With my signature I accept the terms and conditions of delivery, which are callable on www.descartes-media.com.
| ____________________ | _______________________ | _________________________ |
| (Date) | (Signature) (underage: signature of legal guardian) |
(School license: school stamp) |