Visual Instruments Order Form

VISUAL INSTRUMENTS PRINTABLE ORDER FORM

(Fax or Mail to Address below)

      Current Price List

      Part Number 2000-0160        Visual Voltage Monitor 12volt FAA approved $99.00
      Part Number 2000-0165        Visual Voltage Monitor 24volt FAA approved $99.00
      Part Number 6000-0050        Cessna Flap Position Indicator FAA approved $549.00

Order Form

Qty	Part Number	Description	Unit Price	Total Price

U.S. Shipping

$11.00 for Surface, $25.00 for 2nd Day Air, $40.00 for Overnight;

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 infomation contact Customer Service at (918) 298-7787. If no answer call (918) 260-7728.

      Forms of Payment:
       We accept

      Check:   #    Amount Enclosed:   $

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

      Signature:_____________________________________________________________________

      Your Mailing Address:

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

      Aircraft Registration Number:      Aircraft Model Number:

Mail or Fax this Form to: Dan at

Visual Instruments, LLC	Fax Number: (918) 517-3007
200 Lear Jet Lane	Order Number: (918) 298-7787
Tulsa, OK 74132-4009	If no answer, call: (918) 260-7728

Visual Instruments w 200 Lear Jet Lane w Tulsa, OK 74132-4009

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