                        Newsbin 3.3 Order Form

Name:___________________________________

Street Address:______________________________________________

City:__________________________ State:____  ZIP:_____________

Country:_______________________

Phone: ________________________

NOTE: Your address is required for credit card verification.  
Phone number will only be used if your email address bounces.

Email Address:  (Please Print Clearly)_______________________________

Order Type (circle one)

     Newsbin Pro 3.3 ($35)           Newsbin Pro 3.3 Upgrade ($15)

Note: To qualify for the upgrade, you must be a registered user and
must send a copy of your registration name, email address, and key.

=========================
For Credit Card Sales  ==
=========================

Credit Card Type:  ________________ (VISA, Master Card, or AMEX only)

Credit Card Number: ________________________ Expiration: _____

============================
For Check or Money Orders ==
============================

Write the Check or Money Order payable to DJI Interprises, LLC for
$35.00 ($36.58 for VA residents).  Qualified registered users write
the Check or Money Order for $15.00 ($15.68 for VA residents).

Please mail to:

DJI Interprises, LLC
ATTN: Newsbin
P.O. Box 7482
Fairfax Station, VA 22039
