NewsBin 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:  __________________________________
                (IMPORTANT, please print clearly!)

Credit Card Type (circle one):  VISA, Master Card, AMEX

Credit Card Number: ________________________ Expiration: _____

Please email this form to sales@newsbin.com or mail to:

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

If paying by check or money order please make it payable to 
DJI Interprises, LLC in the amount of $19.95 ($20.85 for 
Virginia residents) and send to the above address.  If 
international check or money order, please send a New York 
Draft in the amount of $19.95, US Funds.