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        G L E A S O N   R E S E A R C H   O R D E R   F O R M

      Please print out form and fax it to us at (978) 287-4170.
                                   
      Gleason Research * P.O. Box 1494 * Concord, MA 01742-1494
  fax 978/287-4170 phone 636/536-7179 email info@gleasonresearch.com
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NAME _______________________________________________________________


COMPANY ____________________________________________________________


ADDRESS ____________________________________________________________


CITY _________________________ PROVINCE ____________________________


POSTAL CODE___________________ COUNTRY  CANADA

PHONE NO. 
IMPORTANT!______________________ E-MAIL ____________________________

Please make sure to provide your phone number so that our delivery agent 
can reach you if necessary.


Pricing guaranteed until January 31, 2013:

$319  GR-HB-USB Handy Board System with USB
 $59  EXPBD Expansion Board for Handy Board
 $39  SMKIT Sensor/Motor Kit for Handy Board
$250  HB Handy Board (Main Unit Only)
 $79  HB-USB-INT Handy Board USB Interface
 $12  HB-MAN Handy Board Printed Manual
 $10  KXA-11 Power Adapter for Handy Board

$139  SUPERCX-KIT Super Cricket Start Kit (Serial)
$149  SUPERCX-KIT-USB Super Cricket Start Kit (USB)
 $99  SUPERCX Super Cricket Microcontroller
 $39  CXIR-USB Cricket USB IR Beamer
 $29  CXIR-SER Cricket Serial IR Beamer
 $19  CX-SMKIT Sensor/Motor Kit for Handy Cricket
 $29  CX-LEDLAMP Lamp/Relay 7-Output Driver for Handy Cricket
 $29  CX-4DIGIT 4-Digit LED Number Display for Cricket
 $29  CX-MSEXP Motor-Sensor Expansion Board
 $29  CX-SERVO 8-Servo Controller Board
 $29  CX-DIST Distance Sensor for Cricket
  $9  CX-PHOTO Photocell Light Sensor
  $9  CX-SNAPSW Cricket Snap Switch Touch Sensor
  $9  CX-IR-REFL Infrared Reflective Light Sensor
  $9  CX-BREAKBM Break-Beam Sensor
  $9  CX-MOTOR DC Motor
  $9  CX-TEMP Cricket Temperature Sensor
  $6  CX-9VADAPT 9V Adapter
  $9  CX-REED Magnetic Reed Switch
  $6  CX-BULB Cricket Light Bulb
  $5  CX-MAN Handy Cricket Printed Manual
  $9  CX-WIREKIT Cricket Plug/Wire Kit
  $5  CDROM Handy Board + Handy Cricket software CD

 $29  USB-SER-CAB USB-Serial Adapter Cable
  $6  MACCAB Power Macintosh serial cable (Din-8 male to DB25 male)
  $5  RJ11 4-Pin RJ11 Telephone Cable
  $5  XTADAPT PC serial adapter DB25 female to DB9 male
  $5  DB9CAB DB9M to DB9F serial cable
  $5  USB-CAB USB A-B Cable
  $6  ATCAB DB9F-DB25M 6 Inch Cable

 $20  Foreign check fee


QUANTITY   ITEM DESCRIPTION                PRICE EACH   PRICE EXT


________   _____________________________   __________   _________

________   _____________________________   __________   _________

________   _____________________________   __________   _________

           SUBTOTAL                                     _________
           
           Please circle delivery method:

	   UPS Standard to Canada (slowest; least expensive)
           International Post
           UPS Expedited
           UPS Express (fastest; most expensive)
           
           Your total will include the shipping charge.
           Please contact for quote if paying by check.
           
PAYMENT METHOD      _____ Mastercard  _____ VISA _____ Check Enclosed


CARD NUMBER         ________________________________________________


NAME ON CARD        ________________________________________________
(printed)

SIGNATURE           ________________________________________________


EXPIRATION DATE     ________________________________________________

Please provide credit card billing address:


ADDRESS ____________________________________________________________


CITY _________________________ PROVINCE ____________________________


POSTAL CODE___________________ COUNTRY  CANADA



Note:  please do not send this form to us by regular e-mail.  Use
PGP encryption to send over the Internet, or fax to us.