BuzzerSystems.com - 1-2-3 System Order Form

Order Form: 1-2-3 Buzzer Systems
Prices effective: January 1, 2008 This is not an on-line order form! Please print this form then fill out by hand.

FAX or mail order to:	Ship to:
Novel Electronic Designs, Inc. 143 N. Third Street Chillicothe, IL 61523-2156	Company or School:
	Contact Name:
	Street Address:
Fax 309-274-8454 Please call 309-224-9945 to confirm we received your fax!
	City, State, ZIP:
	Daytime Phone:
We try to ship next business day, but please allow one to two days for processing. Thank you!
	Email Address:
	Payment Method (select one) info
	Purchase Order #:	Credit Card (include form)	Check Enclosed
	Tax Exemption Number : Illinois Customers Only

1-2-3 Buzzer Lockout System link

Number of Buzzers included with System
3 BUZZERS $299	4 BUZZERS $319	5 BUZZERS $339	6 BUZZERS $359	7 BUZZERS $379
8 BUZZERS $399	9 BUZZERS $424	10 BUZZERS $449	11 BUZZERS $474	12 BUZZERS $499
*Buy what you need today... you can add buzzers later.*

Tournament Master, 1-2-3 System
Includes: carrying case, power pack, 1-year warranty!
Please circle the desired model in the matrix.

UNIT PRICE
(from above)

$________

QTY

________

TOTAL

$_______

Accessories & Options

Timer (handheld)
Model TIMER-1

$15.00

QTY

________

TOTAL

$_______

Cable Extension, 15ft -- double a player's cable length
Model EXT-15-TRAD

$5 each
(1 player)

QTY

________

TOTAL

$_______

Remote Pause Module -- disable buzzer system with click of a switch Model 123-PAUSE

$25.00

QTY

________

TOTAL

$_______

Tournament-Style Tabletop Timer
Bright Display, connects to your buzzer system. Locks out system when time expires.
Click here for details.

SELECT TYPE: details

$199.00

TOTAL

$_______

o timer stops on buzz-in

TIMER300-P

o timer continues
countdown after buzz-in

TIMER300-C

International Orders - for customers outside USA and Canada
Add $20 for each system. Power your system from voltages ranging from 100 to 240VAC (the base system is powered from 120VAC only) Click here for details. Power cord not included.

$_______

Special Instructions:

EXPEDITE - APPROVED: Yes / No
fee applies... please call for quote
Delivery Date_______ before ___ am/pm

Credit Card Form