Astral Blossom: Order Form

Order online with MasterCard/VISA/American Express/Discover/PayPal. To order by mail, print this page, fill in the blanks, and mail to Imaja with your check or money order payable to Imaja.

________ Astral Blossom (E-mail delivery) $5.95
          - luminous geometric animation screen saver for Mac OS X
or
________ Astral Blossom (CD-ROM delivery) $29.95
          - luminous geometric animation screen saver for Mac OS X
________ Subtotal
________ California residents add 8.25% Sales Tax
________ US ground shipping: $2.00
________ or US 2nd day air shipping: $15
________ or International air mail shipping: $8
________ Total
 
 Check or money order enclosed (US$) 

Name ___________________________________________________________________________

Company ________________________________________________________________________

Address ________________________________________________________________________

City/State/Zip _________________________________________________________________

Country ________________________________________________________________________

Phone (Required) _______________________________________________________________

E-mail _____________________________________________Mac Model/System____________
Send to:
Imaja, 1244 Hearst Ave. #7, Berkeley, CA 94702 USA
Tel: 510-526-4621
E-mail: . Web: http://www.imaja.com
Imaja home page ... Astral Blossom