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ORDER
FORM
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SHIP TO:
NAME: ______________________________________________
COMPANY: __________________________________________
ADDRESS: __________________________________________
ADDRESS: __________________________________________
CITY: ___________________________
STATE: _____________
ZIP: __________________
PHONE: ______________________________
FAX: _________________________________
E-mail: _______________________________
| DESCRIPTION |
QUANTITY
|
PRICE
|
TOTAL
|
| Model OP93 2 Channel RS232 Optical Isolator |
x $129.00 U.S. | ||
|
UPS
SHIPPING "RED" Express
TO U.S. AND CANADA |
|
1
- 4 pieces $43
|
|
|
POSTAL AIR
|
1
- 2 pieces $23
|
||
|
TOTAL
AMOUNT
|
$ USD |
| VISA:
|
Please
Print Clearly:
|
| NUMBER ON CARD: | |
| NAME ON CARD: | |
| EXPIRY DATE: | |
| AMOUNT | |
| SIGNATURE |
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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
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TEL: (905) 377-8915, FAX (905) 377-8692
Model OP93
Includes:
1pc. 9 Volt DC power supply
1 pc. Convenience Cable 10"