The model and quantity of the product that you wish: 
 You complete address and contact information:
  First name:
  Last name:
  Address:
  City:
  Province:
  Postal Code:
  Country:
  Telephone:
  The prefered shipping service:

You will receive a reply from us as soon as possible with all the informations for completing your order and for receiving the wished product(s).

Also you can send us a fax to: 1-510-228-4151 with your order in the format listed up.