ASCII On-line Order Form

Want to order on-line?

Please select what you want and note the appropriate quantities of each:

PalmPilot & Accessories:
Qnt: Item:
Qnt: Item:
Qnt: Item:
Qnt: Item:
Qnt: Item:

Brother, Casio, Compaq, HP, and Velo Products:
Qnt: Item:
Qnt: Item:
Qnt: Item:
Qnt: Item:
Qnt: Item:

TipMaster Registration (no order charge!)
Qnt: Item:

Order Charge: $15.00 added to all orders for up to 1 PDA and accessories. Add $4.00 for each add'l PDA per order.
Florida Sales Tax (6%) added to Florida orders
California Sales Tax (7.25% - 8.5%, depending upon city) added to all California Orders

Shipping:
Note: California orders must be shipped from Florida facility. UPS 3-day Select provided for these orders at no additional charge!

First Name:
Last Name:

Shipping Address:
Shipping Address:
Shipping Address:
Shipping Address:
City: State: Zip:

Billing Address:
Billing Address:
Billing Address:
Billing Address:
City: State: Zip:

Credit Card:
Number: Expiration Date
If you would like, you may leave the credit card info blank and we'll call you to complete it via telephone.

Telephone Number: We must have a valid daytime phone number!
Email Address: