
        From:

        ..............................           Call:....................

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        BayCom - Team
        Rudi Dussmann, DK5RQ
        Otto-Hahn-Str. 9

        D-8400 Regensburg                       Date:....................



        Herewith I order for immediate delivery:
        (Please Delete as appropriate)
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        Qty.                        BS=Kit / FG=Assembled            DM
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        (  ) BayCom-Software with Printed Manual                     20.--
        (  ) RS232 Modem, 1200Bd (9.5x5cm) incl. Software        BS  89.--
        (  )                                                     FG 125.--
        (  ) RS232 Modem, as above with digital Squelch          BS  99.--
        (  )                                                     FG 135.--
        (  ) Update Mod. digital Squelch, individual components      10.--
        (  ) Empty PCB for RS232 Modem with Contruction Details      12.--
        (  ) SMD-Modem, in 9pin. SUB-D Plug incl. Software       BS  99.--
        (  )                                                     FG 164.--
        (  ) SMD-Modem, in 25pin. SUB-D Plus incl. Software      BS  99.--
        (  )                                                     FG 164.--
        (  ) Empty PCBs for SMD-Modem with Construction Details      12.--
        (  ) USCC-Expansion Card for PC with 2 compl. Modems
             (TCM3105+AM7911), Basic version, incl. Software     BS 285.--
        (  )                                                     FG 365.--
        (  ) USCC-Expansion Card for PC as above with additional
             9600Bd-FSK-Modem by DF9IC (G3RUH-compatible)        BS 380.--
        (  )                                                     FG 480.--
        (  ) Update Kit for 9600Bd, individual components            95.--
        (  ) USCC-Empty PCB Expansion Card with USCC-GAL IC          85.--
        (  ) USCC-Empty PCB Expansion Card with USCC-GAL IC and
             9600Bd GAL-/EPROM                                      120.--
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                                                       Total DM
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        Method of Payment:

        (  ) has been transfered to the account of the BayCom-Team
             Rudi Dussmann,
             Acc.Nr. 190786-859, Postgiroamt Nuernberg, BLZ 76010085

        (  ) Cheque/Check enclosed  Deutsch Mark only

        Remarks:

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        Signature:...............................

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