1. Complete the order form :

DISPER Order form: (Please complete all items that apply)

First Name:_________________________________________________________

Last Name:_________________________________________________________

Title:_______________________________________________________________

Company/Affiliation:____________________________________________________

Fiscal Identity Number(*):________________________________________________

Address:____________________________________________________________

City/State/Region:_____________________________________________________

Country:_____________________________________________________________

Zip/Mail Code:________________________________________________________

E-mail:__________________________ Telephone:___________________________

                            (*) or analogous

2. Fax or Email the completed form to:

Canarina Algoritmos Numericos, S.L.

Contact info: Contact us

3. We will contact you soon for the payment method

Payment methods:  After you send us the completed form, please choose from the following:

1. Payment by international wire transfer

2. Payment by WESTERN UNION

            We will contact you soon.

Shipping and handling expenses: Shipping and handling expenses are included in our posted prices. Orders will be sent first class by Postal Express (Spain).

Estimated Delivery Date: