COMM-NET 2000 MFG.- ORDER FORM
Post Office Box 20 - 5409 NE Stephens
Winchester, Oregon 97495, U.S.A.
Order: 1 (800) 283-5158 U.S.
& Canada
Local Fax / Office: (541)
672-6475
Fax: 1 (800) 337-6475 U.S.
Only
Print out this form and fax or mail it to us.
| SOLD TO: |
| Name of Company:____________________________________________________________ |
| Address:___________________________________________________________________ |
| City, State, Zip:_______________________________________________________________ |
| SHIP TO: |
| Name of Company:____________________________________________________________ |
| Address:___________________________________________________________________ |
| City, State, Zip:_______________________________________________________________ |
| Telephone Number___________________________ Ext._____________ |
| Ordering Person's Name _______________________________________ |
| Signature__________________________________ Date:____________ |
| P.O. # ___________________________________ Date:____________ |
| Type of Payment: Pre-Pay_______ COD_______ Net 10 Days (OAC) ___________ |
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| h |
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| PRODUCTS | QUANTITY | PRICE PER UNIT |
| DG 200 Delay Timer | $38.00 | |
| DG 200 CUSTOM DELAY TIMER | $40.00 | |
| DGRM 501 In Band Repeater Maker | $89.00 | |
| DGRM 501-B Cross Band Repeater Maker | $169.00 | |
| DGME 1000 Mobile Extender | $169.00 |
| ORDER TOTAL $______________ |
| SHIPPING AND COD CHARGES WILL BE ADDED | ||
| *** ALL ORDERS SHIPPED BY UNITED STATES POST OFFICE - PRIORITY MAIL*** | ||