FirstFone Buy

ORDER FORM FOR Option FirstFone GSM PC Card

Worldwide delivery!

All fields below must be filled out before your order can be processed

Your Details (All fields must be completed)

First Name

Last Name

Your E-Mail Address

Delivery Address

Delivery Address

City

Postal/ZIP Code

Country

Daytime Telephone number
(include country code)

Mobile Phone Number

Fax Number

Credit Card Details (All fields must be completed)

Note: We will prosecute credit card fraud to the fullest extent of the law, in all countries

Credit Card Number

Special Security Code at back of card

Expiry Date (Month and Year)

Type of card (VISA/Mastercard only)

Issuing Bank

Number of Option FirrstFone PC Cards required at US$225 each+shipping/insurance

Shipping/Insurance Costs:
Express Shipping/Insurance costs for Europe: US$65
Express Shipping/Insurance costs for North America: US$70
Express Shipping/Insurance costs for South America: US$75
Express Shipping/Insurance costs for Russian Federation: US$75
Express Shipping/Insurance costs for Asia: US$85
Express Shipping/Insurance costs for Australasia: US$85
Express Shipping/Insurance costs for Middle East: US$89

Note: This form is for export orders ouside the South African Common Monetary Area. For local South African pricing, call +27-(0)21-418-2418

Do you have any special instructions (delivery, invoicing, customs etc)?

(Click once only, then wait a few seconds for your order to be processed)

First Name
Last Name
Your E-Mail Address
Delivery Address
Delivery Address
City
Postal/ZIP Code
Country
Daytime Telephone number (include country code)
Mobile Phone Number
Fax Number

Credit Card Number
Special Security Code at back of card

Expiry Date (Month and Year)
Type of card (VISA/Mastercard only)
Issuing Bank