Note!

This form is intended for mail purchases only. Please do not use it for general sales or support inquiries, use this form instead. Please fill in this form in English only. All fields below are mandatory, except the last one.

Customer Information

Full name:

E-Mail Address:

Payment method
Please select from the drop-down list Cash Check Money Order Wire Transfer Other (please explain below) Postal address, phone number and comments:
Where did you hear about us (optional):


Enter the 5-digit code from above. View a different image if you can't see all the digits (required to thwart hacking/spamming):

Don't forget

Don't forget to mail the registration fee of $24.95 USD in cash, check or money order made to:

Upon receipt of your check, cash or money order, your personal DU Meter serial number will be sent to you by return e-mail. You must include your clearly printed or typed email address with your payment, or your registration code will not be sent.