Hockey Pong, product #342

Scandinavian Software Agency
Box 11
SE-124 21 Bandhagen
Sweden
Phone/Fax: +46 8 99 70 37
E-mail: order@softagency.se
http://www.softagency.se

Scandinavian Software Agency - SSA, receive orders using the Postal 
Giro Services (Postgirot) or by credit card.

SSA tar emot registreringsavgifter via Postgirot eller kontokort.

Danmark:	 betala/pay 149DKK till/to  	konto/account no: 1-649-6472
Finland:	 betala/pay 119FIM till/to  	konto/account no: 800057-1090161
Island:	 betala/pay 1490ISK till/to  	konto/account no: 602604
Norge:	 betala/pay 149NOK till/to  	konto/account no: 0806 1907581
Sverige:	 betala/pay 149SEK till/to  	konto/account no: 163 24 51 - 9

We accept/Vi tar emot: American Express, Diners Club, Eurocard, 
MasterCard and/och VISA. I Sverige också: BankKort, Köpkort,
Rikskort och Sparbankskort.

Please, use the form below (print it or copy it) or visit our homepage. 
Fyll i dina uppgifter nedan, skriv ut eller kopiera. Du kan också 
beställa direkt från vår hemsida.

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Ordering Form - Kreditkortsformulär

Number on Card/Nummer:____________________________________________

Type of Card/Korttyp:_____________________________________________

Valid thru/Giltigt t.o.m.:________________MM/YY - MM/ÅÅ

Name:   __________________________________________________________

Address:__________________________________________________________

             __________________________________________________________

Postal Code/Postnr:_________________________________________________

City/Postort:_______________________________________________________

Country/Land:______________________________________________________

E-mail/E-post:______________________________________________________

_________________________________________________________________
Date and signature/Datum och underskrift