Order Number: _______________________

Name (please print)_________________________________________________________

Address ____________________________________________________________________

City ______________________ St./Prov. ________________ Zip Code ____________

Country (if not USA) __________________ Phone _____________________________

Email address __________________________________
Quantity Item Number Description Price
       
       
       
    Subtotal:  
    Shipping/Handling:  
    (Michigan residents MUST add correct sales tax)Tax:  
    Total:  

SHIPPING/HANDLING CHARGES:

[] USA: $5 each [] Canada & Mexico: $6 each [] All other countries: $8 each

[] I would like save shipping cost and have it emailed to the address above.

Note: Payment must be in U.S. dollars, drawn from a U.S. bank.

Please do not send cash!

Payment type: [] Company Check [] Money Order

Payable to "Micronet Technologies".

Mail To: Micronet Technologies
  8421 Eldora Dr SW
  Byron Center, MI 49315

Phone: see contact page

All prices subject to change without notice. All items subject to availability.

Thank you!