AxMan Mail Order Form

Make check or money order payable to:

D. Fend

c/o AxMan

950 Dressler Ln.

Rochester Hills, MI 48307

Please provide the following information:

Product               AxMan 3.00                               

Name (First and last)                                                   

Company*                                                

Street address                                                 

City                                                 

State / Province                                                 

Zip / Postal Code                                                 

Country                                                 

Phone number                                               (Optional)

Email address**                                                 

Quantity                                                 

* - Leave the company field blank if you are registering this as a personal copy.

** - This is the email address that you want your registration information sent to.   Please make sure that you enter this correctly or we will be unable to deliver the registration information to you.

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