VISUAL INSTRUMENTS, LLC PRINTABLE ORDER FORM

(Fax or Mail to Address below)

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      Current Price List

      Part Number 2000-2600        Visual Voltage Monitor 12volt FAA approved $149.00
      Part Number 2000-2650        Visual Voltage Monitor 24volt FAA approved $149.00
      Part Number 6000-0050        Cessna Flap Position Indicator FAA approved $749.00

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      Order Form

Qty

Part Number

Description

Unit Price

Total Price

U.S. Shipping Costs  UPS Ground = $15, UPS 2nd Day Air = $30, UPS Next Day Air = $70 PLEASE CALL FOR QUOTE ON ALL INTERNATIONAL SHIPMENTS.       Total Amount Enclosed (U.S. funds only)

Amount   $ Shipping   $ TOTAL   $

       *Prices subject to change without notice
       *For more info contact Customer Service at (918) 298-7787. If no answer call (918) 260-7728.

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      Forms of Payment:
       We accept

      Check:   #    Amount Enclosed:   $

      Credit Card:        VISA          MasterCard        American Express
      Account Number:   Exp. Date: 

      Signature:_____________________________________________________________________

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      Your Mailing Address:

      Name:      
      Address:   
      City:              State:    Zip:
      Country:    Phone: email:

      Aircraft Registration Number:      Aircraft Model Number:

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      Mail or Fax this Form to: Dan    at

Visual Instruments, LLC	Fax to: (918) 517-3007
9061 Airport Way	Phone Orders: (918) 298-7787
Tulsa, OK 74132-4010	If no answer, call: (918) 260-7728

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Visual Instruments, LLC  w  9061 Airport Way  w  Tulsa, OK 74132-4010

Phone: (918) 298-7787 or, if no answer call (918) 260-7728  w  Fax: (918) 517-3007