Order Form MyAmplifiers: Self-Portrait

Print out and
send / fax to:

GSM mbH
Gesellschaft fuer Systeme der
Mobilkommunikation mbH
Ahornweg 15

D-83104 Schoenau (near Munich) / Germany

Fax: +49-8065-9035-15
Phone: +49-8065-9035-0
Commissioner: Delivery address:
Name of the ordering person:
Phone number:
Fax no.:
E-mail no.:
Your order/ref. no.:
Your customer no.:
Planned delivery date:

Based on the trade terms of GSM mbH, D-Schoenau, we order the following items:

Article- / Item-no. Description

No. of units

Price per unit
in DM

Total
in DM

7770.10901 MobilDockรข GSM 900 Gateway
for voice + SMS-messaging including
GSM 900 antenna with SMA plug
110..230V/12V power adapter, Standard SIM reader,
RJ12 plug for trunk line or local line operation
RS232 plug for SMS and configuration purposes
 

DM

DM

  External antenna per unit (free of charge)  

0,00 DM

0,00 DM

  PC-Software for SMS-messaging  

DM

DM

  Packaging/freight via UPS  

DM

DM

     

Total net excl. VAT

DM

Terms of payment:
Prices are given excluding VAT.
Our VAT-No.: DE 172514108. Delivery will be made against pre-payment to the MyAmplifiers bank account:
SWIFT code: BVBEDEMMA448 - Account-no.: 6375359. All costs for account of applicant (incl. charges in Germany)!
Terms of delivery:
Ex works Schoenau, Germany via UPS express service.

Order confirmation:
Confirmation will be sent after receiving your order by separate mail or e-mail.

Date of order:
Signature / stamp:

 

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Telephone: +49-8065-9035-0 - Telefax: +49-8065-9035-15