Order Form: ADDING PLAYERS to DELUXE Buzzer Systems
Prices effective: January 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
 
Deluxe Systems
(Series 200 and Series 300)

IMPORTANT!   We need to know the serial number of the system to which you're adding players (the serial number is on the tag on the bottom of controller console (for example, S/N 200-123-0)

Serial Number ______________________

OPTION 1: Add Players to your teams
 Includes everything you need: modules, short cables, and pushbuttons.
 

PLAYER
MODULE
COLOR

 Part
Number		 Indicate number of players  needed for
each team color
(system will accommodate
up to 7 players per team)		 PRICE
Light Gray
(green lens)		  [LG-ADD] ______ $40 for each
player you're adding
Dark Gray
(red lens)		  [DG-ADD] ______
Light Blue
(red lens)		  [LB-ADD] ______
Dark Blue
(green lens)		  [DB-ADD] ______
 

TOTAL

$_______

Option 2: Add a complete team of modules*
 Includes everything you need to add a team to your system: modules, cables, and pushbuttons.
 *Your system must have a four-team controller to support 3 and 4 teams.
You can upgrade your two-team controller... see below.
  Add complete team of 3 players
[TEAM-3]

$129

QTY

________

TOTAL

$_______

Add complete team of 4 players
 [TEAM-4]

$169

QTY

________

TOTAL

$_______

Add complete team of 5 players
 [TEAM-5]

$209

QTY

________

TOTAL

$_______

Add complete team of 6 players
 [TEAM-6]

$259

QTY

________

TOTAL

$_______

Add complete team of 7 players
 [TEAM-7]

$299

QTY

________

TOTAL

$_______

Options and Accessories

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

$_______

Additional Carrying Case
 Available to customers whose systems have more than 16 modules.  This is a special, reduced price for customers buying additional modules (regularly $69). This case is like the case that comes with a system.  [CASE-STD-ADD]

$49

QTY

________

TOTAL

$_______
 
Special Instructions:
 

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



Credit Card Form

Sub-Total

 

$__________

Shipping info

$__________
shipping
USA (lower 48)
 (ground delivery)		 $10
Canada, APO,
Alaska, Hawaii		 US$20
EXPEDITE DELIVERY call
International call

Sales Tax
Illinois: add 7% unless tax exempt
Outside Illinois: NO SALES TAX!

$__________

Total

  
$__________
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