BUX CommCo Communications Parts and Accessories; Order Form

Prices shown below include shipping and handling fees. These fees apply only to PSK31 interface orders!

ISO-KIT Number	PLEASE Include Make and Model of transceiver the ISO-KIT will be wired to.	Qty	Each


	ISO PSK31 ''KIT'' with case, Total = $25.00 Includes USA Shipping.		$
	ISO PSK31 ''KIT'' with case Total = $35.00 Includes Mexico and Canada Shipping.		$
	ISO PSK31 ''KIT'' with case, Total = $45.00 Includes Foriegn, Shipping and Handling.		$
	Assembled, with case, Total = $49.00 Includes USA Shipping.		$
	Assembled, with case, Total = $59.00 Includes Canada and Mexico Shipping.		$
	Assembled, with case, Total = $69.00 Includes Foriegn Shipping and Handling.		$
	(VA Residents, Add sales tax)		$
	Total (this order) $

IMPORTANT; Please Complete the following information

Name:

Phone No.(         )         -

Address:

Today's DATE: Mo____Day_____Yr_______

City;
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24/7 FAX (804) 525 7818    When placing credit card orders via FAX;
Please include the name of the card (DisCover, MasterCard, or VISA).
Include your name as it appears on the card, and the expiration date of the card.
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Name:	Phone No.( ) -
Address:	Today's DATE: Mo____Day_____Yr_______
City;	If Payment is by Credit Card, Please Check One VISA__, DISCOVER__, MasterCard__.
State;	Number:
Zip Code:	Expiration date: ___/___