Please use the form below to place your order. You may either print it, fill it out and fax it to us to 90-(232)462-7545, or send it using your browser. Click in the Name field to begin entering your information. Press the Tab key (not Enter!) to advance to the next input field. Some selections use a "radio button" interface -- click with the mouse to highlight one of the buttons. A Place Order button appears at the end of the form.
Name: Company: Address 1: Address 2: City: State: Zip Code: Country: Voice: Fax: Email:
How many of the following products would you like to order: GALEP-III Kit (with software, battery, AC/DC adapter, cable) GALEP-III Kit(s) ............................ $333.00 Socket adapter(s) for 28/32 Pin PLCC EPROMs . $149.00 Socket adapter(s) for 28/32 Pin LCC EPROMs .. $149.00 Socket adapter(s) for 44 Pin PLCC EPROMs .... $149.00 Socket adapter(s) for PLCC GALs ............. $149.00
Delivery to U.S. s/h .......................... $10.00 Other countries ................... $20.00
Credit Cards Accepted (please check):
MC Visa Card Number: Expires: (MM/YY) Card Holder: I prefer to submit my CC information by fax or voice (phone numbers below)
I'll pay by C.O.D I'm sending a cashier's cheque or money order by normal mail.
Please enter below any comments you may have:
Now click PLACE ORDER to let your browser automatically send an email with all order information you've filled in.
