Wind Generators Kiss High-Output Wind Generator Order Form

KISS ^High/_Output Wind Generators

by Kiss Energy Systems

Tropical Marine Complex
Chaguaramas, Trinidad
1 868 643-4929

Order Form

Please complete the following shipping information:

Name or Yacht in Transit Name (required)
Phone/fax (required)
email address (required)
Company
Number and Street (required)
City, State/Province (required)
Country and Postal Code (required)

Please describe your order:

	Unit Price US$	Number
KISS High-Output Wind Generator:	$995
Specify voltage (required): 12 volt , 24 volt
Pole mount bracket kit:	$140
Mizzen mast mounting bracket:	$145
Spare set of bearings, bearing seats, rectifier and thermostats:	$65
Spare set of three rotor blades:	$195

Ship via (required): FedEx: DHL:
Note: Shipping charges may be estimated by calling 1 (800) Go FedEx, 1 (800) CALL DHL or other shipping agencies. However, actual shipping charges will be entered to the sales draft.

Payment method options:

Visa/MasterCard First 8 Numbers:
Last 8 numbers:
Expiy Date (mm/yy):
Cardholder's Name:

Note: Credit card will not be billed until the day the unit is shipped and I will phone or email you with the tracking number.

Wire Transfer:	Bank	RBTT Bank
	Address	Chaguaramas, Trinidad
	Swift Code	RBTTTTPX
	Acct. Name	Kiss Energy Systems
	Acct. No.	180 143 5460
	Contact	Douglas Billings, 1 (868) 634-4929

Please ensure all transfer fees are borne by the sender.

Bank Draft:	Payable to:	Kiss Energy Systems
	Mailed to:	Kiss Energy Systems
		Private Bag 195
		Carenage Post Office
		Trinidad, West Indies

Unfortunately I can not accept cheques. There is a six week hold on foreign cheques in Trinidad.

If you have any additional comments or queries, please enter them here.

Thank you!

I'll phone or email you with confirmation of receipt of this order and an estimated ship date.
Douglas Billings
Kiss Energy Systems