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DESCRIPTION	QUANTITY	PRICE	TOTAL
Model OP9 8 Channel RS232 Optical Isolator		x $189.00 U.S.
Includes 2 pcs. AC Adapter
UPS SHIPPING "RED" Express TO U.S.		1 - 2 pieces $63
POSTAL AIR WITH BARCODE NUMBER		1 -2 pieces $26
		TOTAL AMOUNT	$ USD

VISA: MASTERCARD:	Please Print Clearly:
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NAME ON CARD:
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THIS ORDER FORM MAY BE FAXED TO PHOTOLOGIC LTD. AT: FAX: (905) 377-8692
Or TO ORDER: ...E-mail the information to Rick Hoffman: rhoffman@sympatico.ca
Or TO ORDER: ...Telephone: (905) 377-8915

PHOTOLOGIC LTD. FEDERAL BUILDING • 39 QUEEN ST., SUITE 214 • COBOURG, ONTARIO K9A-1M8 • CANADA
TEL: (905) 377-8915, FAX (905) 377-8692