QTY DESCRIPTION Extended Price
____ DTMFLCD-C-G Green Backlight
$ 89.00ea built & tested __________
____ DTMFLCD-C-B Blue Backlight
$ 89.00ea built & tested __________
____ DTMF232-A $ 43.00ea built & tested __________
____ DTMF232-2048-A $ 50.00ea built & tested __________
____ 4CH_DTMF $109.00ea built & tested __________
____ 8CH_DTMF $219.00ea built & tested __________
____ D16-RLY $ 39.00ea built & tested __________
____ DTMFRLYB-C-T Terminal Block input
$ 48.00ea built & tested __________
____ DTMFRLYB-C-R RCA input
$ 48.00ea built & tested __________
____ Wire Transfer - USA $10.00 fee __________
____ Wire Transfer - Canada $25.00 fee __________
____ Wire Transfer - all other countries $35.00 __________
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Total $$ of all items marked above __________
California residents, add 8.25% sales tax __________
ALL SHIPPING PRICES BELOW ARE FOR US DESTINATIONS!
Shipping and Handling. For 1 item, enter $7.50, each __________
additional item, add $0.50
Foreign orders: e-mail for shipping costs.
TOTAL ENCLOSED (add all amounts above) __________
__________________________________________________________________________
Payment method: ____ Check ____ Money Order/Cashiers Check
____ Visa ____ Mastercard
Visa/Mastercard number ______________________________
Effective Date __________ Exp Date __________
Name as it appears on card _________________________________
Signature _________________________________
Foreign Orders: A Certificate of Origin may be required for foreign orders
and may result in an additional $40.00 fee (typically Israel).
If one is required, we will contact you via Email and hold
your order.
SHIP TO: Name ____________________________________
Street1 ____________________________________
Street2 ____________________________________
City ________________________State ______
Daytime Phone( )_____-_______ZIP ________
E-mail address _____________________________
Special Instructions __________________________________________________
NOTE: RETURNS not due to an error on our part are subject to a 10% restocking
fee !
_______________________________________________________________________
Or FAX it to (888) 742-7816