PRODUCT ORDER FORM

(Use this form is you intend to purchase or register products.)

Customer Information
The name of the person ordering the products (the buyer).

Name:
Telephone:
City:
Email:
Organization:

____________________________
____________________________
____________________________
____________________________
____________________________

Product:

Trazar City Tools v2012

Serial number:

____________________________

Request Code:

____________________________

Date:

____________________________

AutoCAD
ZWCAD

BRICSCAD

Vendor Information
The name and address of the vendor (the seller).

Contact:
Telephone:
Internet:
Email:
Address:

_____________________
_____________________
_____________________
_____________________
_____________________

Bethel Ingeniera Information

the company requesting the order.

Contact:
Telephone:
Internet:
Email:

Jos M. Rubn Paz

(507) 392-3148
http://www.betheling.com
sales@betheling.com
La Chorrera, Panama, Republica de Panama

Bethel Ingeniera, Calle H, Santa Clara, La Chorrera, Apartado Postal: 0819-02763, Panam, Repblica de Panam.