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

Order Form: 1-2-3 Buzzer Systems
Prices effective: August 1, 2010 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

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

1-2-3 Buzzer Lockout System

Number of Buzzers included with System
3 BUZZERS $299 [123-3]	4 BUZZERS $319 [123-4]	5 BUZZERS $339 [123-5]	6 BUZZERS $359 [123-6]	7 BUZZERS $379 [123-7]
8 BUZZERS $399 [123-8]	9 BUZZERS $424 [123-9]	10 BUZZERS $449 [123-10]	11 BUZZERS $474 [123-11]	12 BUZZERS $499 [123-12]
*Buy what you need today... you can add buzzers later.*

	Tournament Master, 1-2-3 System Includes carry case, power pack, two-year warranty. Please circle desired model in the matrix.	UNIT PRICE (from above) $________	QTY ________	TOTAL $_______
	Feature: for customers outside USA and Canada Power your system from voltages ranging from 100 to 240V (the stock system is powered from 120V only) *Power cord not included (see info).* Append [-240V] to part number.	add $40	QTY ________	TOTAL $_______
Accessories & Options
	Timer (handheld) Convenient up/down counter. [TIMER-1]	$15	QTY ________	TOTAL $_______
	Cable Extension, 15ft Double a player's cable length [EXT-15-TRAD]	$5 each (1 player)	QTY ________	TOTAL $_______

	Handheld Pushbuttons - special price, save $5 each For Reset and Time Keeper functions. Has 5ft cable, can be extended (see below). Includes 15ft extension. [PB-1-123]	$15 each (limit 2)	QTY ________	TOTAL $_______