NOTICE: NO LONGER ACCEPTING NEW ORDERS!

PicoWeb FAX/Mail Order Form

Name:

PicoWeb Logo

Company:
Address:
City: State:

Make checks payable to:
Lightner Engineering
8551 La Jolla Shores Dr.
La Jolla, CA 92037-3044

ZIP/Postcode: Country:
Phone: Fax:
E-Mail: PO#:
Qty.

SKU#

Description of Item Shipping
Weight
(each)
Price
(each)
Shipping
Weight
(total)
Subtotal
Price
  PW1-DEV PicoWeb Full Development Kit (incl. PW1-SVR) 1.0 lb.

$149.00

   
  PW1-SVR PicoWeb Server (w/ 110V power supply and case) 0.5 lb. $99.00    
  PW1-ASM PicoWeb PCB (server, no power supply, no case) 0.3 lb. $79.00    
  PW1-PC PicoWeb Programming Cable 0.5 lb. $29.00    
  PW1-FDK PicoWeb Firmware Development Kit (CD-ROM) 0.2 lb. $49.00    
  PW1-SVX Bare PicoWeb Server (w/ case, no power supply) 0.3 lb. $85.00    
             
             
                             

TOTAL SHIPPING WEIGHT FOR ALL ITEMS:  

 

 lbs.
 USA Orders: Indicate  US Priority Mail - and pay correct amount
 Foreign Orders: Indicate  Express Mail - and pay correct amount

ORDERING INSTRUCTIONS

 *CHARGE MY CREDIT CARD:credit_MC_visa.gif (2104 bytes)
   VISA    MasterCard    Amex    Discover
  
 
   Expiration Date (required):    /  

   Signature:  X_____________________________   Date:_______
   *Note: Name & address listed on form must match card's owner

  Total Amount for 
  Items Ordered
 
  Calif. Deliveries Only - 
  Add 7.75% Sales Tax
 
  Shipping & Handling 
  (Refer to Charts)
 
  Total Amount Enclosed $

Check, Money Order or Credit Card information MUST accompany order. DO NOT SEND CASH!

Order by fax at 1-858-551-0777 or send this order form to:
Lightner Engineering
8551 La Jolla Shores Dr.
La Jolla, CA 92037-3044

Telephone: +1-858-551-4011   FAX: +1-858-551-0777   E-mail: lightner@lightner.net