BuzzerSystems.com - Order Form for UPGRADES

Order Form: ADDING PLAYERS to STANDARD Buzzer Systems
Prices effective: January 1, 2010 This is not an on-line order foom! 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

Fax 309-274-8454
Please call 309-224-9945 to
confirm we received your fax!

Why? Faxes are sometimes distorted or unreadable and we want to make sure we receive and process your order!

We try to ship next business day, but please allow one to two days for processing. Thank you!

Company
or School:

Contact
Name:

Street
Address:

City,
State, ZIP:

Daytime
Phone:

Email
Address:

Payment Method (select one) info

Purchase
Order #:
Credit Card
(include form)

Check
Enclosed

PayPal
Instructions

Tax Exemption Number :
Illinois Customers Only

Standard Systems
(Series II and Series III)

IMPORTANT! We need to know the serial number of the system to which you're adding teams. Please write the serial number from the tag on the bottom of your system controller (for example, S/N S07-0856)

Your system's serial number _____________

Add an extra "Standard" team
Supports 5 players. Includes everything you need: module, 15ft cable, long cable, and pushbuttons. [ADD-STD-TEAM]

Note: Your system must have a four-team controller to support a third or fourth team. If you have a two-team controller, it must be upgraded... see next item.

$159

QTY

________

TOTAL

$_______

Controller Upgrade (Applies to 2-team controllers only)
Upgrade your two-team controller so that it supports up to four teams. Ship your controller to the mailing address listed at the top of this page. [SC200-UPGRADE]

$89

QTY

________

TOTAL

$_______