ORDER FORM Terms: Check, VISA or MasterCard. COD available on orders over $500, 25% deposit required. Shipping/handling charges extra, please call. CA residents add State Sales Tax. Most items in stock - call for delivery time. DATE_______________________ SOLD TO____________________ SHIP TO____________________ ADDRESS____________________ ADDRESS____________________ CITY_______________________ CITY_______________________ STATE_______ ZIP__________ STATE_______ ZIP__________ DAYTIME PHONE__________________ Model/Part# Qty Description Unit Cost Total Cost _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Payment: COD___Check___ Subtotal __________ Charge Card_________ Handling add 0.5% ($10 min) __________ Card#_______________ Shipping, please call __________ Exp Date_____ CA Residents, add Sales Tax __________ Name________________ COD Fee, add $20.00 __________ Signature___________ TOTAL __________ dBcom 4757 Bel Roma Road Livermore CA 94550 (925) 454-5347 (925) 454-5342 fax info@digitaltiming.com e-mail http://www.digitaltiming.com web site