Fax completed order form to (310) 432-2602
CharmIT™ Developer's Kit Order Form
Quantity
Description
Price Each
Total
Unassembled Kit
*Call
Enclosure without PC-104 Board
*Call
PC-104 266 MHz Assembled Kit, no peripherals
US $2,000.00
PC-104 266 MHz Assembled Kit with peripherals
*Call
Sub Total
Tax
Shipping + Handling
Total
Credit Card Information:
Visa
MasterCard
American Express
Diners Club
Cardholder's Name
Card No.
Expiration Date
Cardholder's Signature
Billing + Shipping Address
City, State Zip Code
Tel. Number
*
For more information contact:
Charmed Technology, Inc., 9601 Wilshire Blvd. Suite 735, Beverly Hills, CA 90210
tel. (310) 432-2600