| Name: |
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| 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#: | |
| Name: |
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| 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 |
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| 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: |
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lbs. | ||||
USA Orders: Indicate  US Priority Mail
- and pay correct amountForeign Orders: Indicate Express Mail - and pay correct amount |
ORDERING INSTRUCTIONS | |||||
*CHARGE
MY CREDIT CARD:
VISA MasterCard Amex Discover Expiration Date (required): / Signature: X_____________________________
Date:_______ |
Total Amount
for Items Ordered |
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| Calif.
Deliveries Only - Add 7.75% Sales Tax |
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| Shipping
& Handling (Refer to Charts) |
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| 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: