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ADDRESS: __________________________________________

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DESCRIPTION
QUANTITY
PRICE EA.
TOTAL

Model IR-S
Serial Adapter with Power Supply

x $129.00 U.S

Model IR-P
Parallel Adapter with Power Supply

x $139.00 U.S

MERCHANDISE
TOTAL
UPS SHIPPING "RED"
TO U.S. AND CANADA

1-4 pc $22

TOTAL AMOUNT
$USD
CREDIT CARD INFORMATION:
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EXPIRY DATE:  
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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

 

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