| Variable Electronic Components
Institute
PO Box 1070 Vista, California 92085-1070
Phone: (760) 631-0178 FAX: (760) 631-7827 email: veci2@cox.net
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| Please enter our order for the following: |
Quantity |
|---|---|
|
VECI-E-100 Encoder Industry Standard @ $5 each |
__________
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|
VECI-E-100 Encoder Industry Standard on CDROM @ $25 each |
__________ |
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Total |
__________ |
| [ ] | Our check is enclosed in the amount of $ ___________ |
| [ ] | Our Purchase Order is enclosed. Please send an Invoice. |
| [ ] | Our Purchase Order will be sent to you in the near future. |
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| Form Completed by _________________________________
Date ________
Company _______________________________________________________ Address ________________________________________________________ |