FAX ORDER FORM

Print and fax to (705)835-0081.

FIRST NAME

___________________________

LAST NAME

___________________________

ADDRESS

_________________________________________________________________

CITY/TOWN

___________________________

POSTAL/ZIP CODE

___________________________

PROVINCE/STATE

___________________________

COUNTRY

___________________________

EVENING PHONE

___________________________

DAY PHONE

___________________________

_________________________________________________________________

PRODUCTS Check Pricing - Asian (US$) Canadian $ European € US $

LOUDSPEAKERS

R58

R630v3

R645v3

NHB645

BARE RIBBONS

R30

R45

Neo R8

KITS

R630v2*

R645v2*

* A hobbyist would find it extremely difficult to make a V3 cabinet, so only V2 kits are offered.

METHOD OF PAYMENT

VISA MASTER CARD (US & International customers ONLY)
WIRE TRANSFER PERSONAL CHEQUE

BILLING INFORMATION

NAME AS IT APPEARS ON CREDIT CARD ________________________________________

CREDIT CARD NUMBER

_________________________________________

EXPIRY (MM/YY)

_______________

BILLING ADDRESS

SAME AS ABOVE (IF NOT PLEASE FILL OUT YOUR BILLING ADDRESS)

BILLING ADDRESS

___________________________

ADDRESS

___________________________

CITY/TOWN

___________________________

POSTAL/ZIP CODE

___________________________

PROVINCE/STATE

___________________________

COUNTRY

___________________________

SIGNATURE

___________________________

DATE

___________________________

SYSTEM DESCRIPTION

HOME THEATRE ______%

PURE MUSIC ______%

AMPLIFIER MODEL
___________________________

POWER OUTPUT/CHANNEL
___________________________

ROOM SIZE ______ feet wide x ______ feet long

IS THIS A DEDICATED ROOM?
yes no

"I am A LITTLE VERY NOT AT ALL flexible in the placement of the speakers in the room."

PRINTABLE ROOM PLANNER

Text Size

Email: ribbons@newformresearch.com Tel: 705.835.9000