NAME: ______________________________________________________________________________________
ADDRESS: ___________________________________________________________________________________
_____________________________________________________________________________________________
PHONE NUMBER _____________________________ Email Address (Optional) __________________________
Quantity ______ DakiOm Modified Sony SS-B3000 ( @ $US 1495 per pair) = __________________
[Note: Enter above quantity in number of pairs]
Sub Total =__________________
For orders within California only, 7.25% of Sub Total =__________________
Shipping US Postal: (FREE)
TOTAL ORDER =__________________
Make one check per order, payable to Dakiom. Your order will be shipped after the check/money order is cleared.
MAIL YOUR ORDER AND CHECK TO: DAKIOM
3056 Scott Blvd, Suite C