Order Form

Please print out the form and fill it out.
Then fax to +886-2-2759-0592.
Thanks!!

I hereby order
_____ copy(ies) Defining Digital Architecture
at the price of US$45.00 + postage / packing
Postage and packing charges, from second one add
US7.00 extra for each copy.
USA 1 copy = US$15.00
ASIA 1 copy = US$15.00
EUROPE 1 copy = US$25.00
Other Countries 1 copy = US$25.00

From
First Name_________________________________

Last Name_________________________________

Street, No._________________________________

City, Country _______________________________

Tel._________________ Fax__________________

Email Addr.________________________________

I should like to pay by credit card
□ Visa □ Mastercard

Total Amount US$___________________________

Card No.__________________________________

Expiry date of card(month/year) _____ / _____

Date/Signature _____________________________

Jen Sean and Wellcharm Enterprise Co., Ltd.
#3, Lane 33, Sec.6, Hsin Yi Road,
Taipei, 110, Taiwan
Tel:886-2-2759-0715