First Name: _______________________________________________
Last Name: ________________________________________________
Street Address: ___________________________________________
City: _____________________________________________________
State: ____________________________________________________
Country: __________________________________________________
Email: ____________________________________________________
Email will be sent (with tracking number, if applicable) when order is shipped.
Unelectric Loudspeaker Type (i.e. 2-way monitor, 2.5-way tower): ___________________________________________________
Unelectric Loudspeaker Quantity (i.e. single, pair, etc.): ___________________________________________________________
Unelectric Louspeaker Cabinet Finish (i.e. black, maple, cherry): __________________________________________________
Cable Quantity (i.e. single, pair, etc.): _________________
Cable Length (in meters): _________________________________
Speaker Wire Termination (spades 7mm opening, spades 9mm opening, straight spring bananas, right angled locking bananas):
___________________________________________________________
GOLDMUND A1/A2 Module Quantity: ___________________________
Goldmund Mimesis 3 Clone Amplifier Board Quantity (one board = one channel, two needed for a stereo amplifier): ________
___________________________________________________________
Preferred Shipper ($9): ___________________________________ (USPS Priority Mail, UPS Ground, FedEx Ground) (Unelectric monitor/tower, please contact for rates) International orders will be shipped via USPS Global Express. ($30) (Unelectric monitor/tower, please contact for rates) If ordering from Illinois, please add 9.75% sales tax. Total Amount Enclosed: ____________________________________

NAGYS AUDIO, Inc.
2207 W Grove Ave.
Waukegan, IL 60085
United States
www.nagysaudio.com
invictus005@hotmail.com