----------------------------------------------------------------------
    G L E A S O N   R E S E A R C H   F A X   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 800/265-7727 email info@gleasonresearch.com
----------------------------------------------------------------------

      
NAME _______________________________________________________________


COMPANY ____________________________________________________________


ADDRESS ____________________________________________________________


CITY _________________________ STATE ________ ZIP __________________


PHONE # ______________________ E-MAIL ______________________________


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

Shipping:  1 lb and less may be shipped US Mail; all others via UPS.

  $6  US Mail, 3 - 5 business days (up to 1 lb only)
 $10  UPS Ground Residential, 2 - 7 business days (up to 4 lbs, $1/lb additional)
  $8  UPS Ground Commercial, 2 - 7 business days (up to 4 lbs, $1/lb additional)
 $24  UPS Blue, 3 business days (up to 4 lbs, $1.50/lb additional)
 $15  UPS Select, 4 business days (up to 4 lbs, $1.25/lb additional)
 $35  UPS Red Saver, 2 business days (up to 4 lbs, $2.25/lb additional)
 $45  UPS Red Next Day Air, 2 business days (up to 4 lbs, $3/lb additional)
 $50  FedEx Next Day/Saturday Delivery (up to 3 lbs, $2.50/lb additional)

Orders over 4 lbs are charged per actual additional shipping cost.
Please contact for quote if paying by check.


QUANTITY   ITEM DESCRIPTION                PRICE EACH   PRICE EXT


________   _____________________________   __________   _________

________   _____________________________   __________   _________

________   _____________________________   __________   _________

________   _____________________________   __________   _________

________   _____________________________   __________   _________

________   _____________________________   __________   _________

           SUBTOTAL                                     _________

           Massachusetts residents 5% sales tax         _________

           Delivery                                     _________

           TOTAL                                        _________



PAYMENT METHOD      _____ Mastercard  _____ VISA _____ Check Enclosed


CARD NUMBER         ________________________________________________


NAME ON CARD        ________________________________________________
(printed)

SIGNATURE           ________________________________________________


EXPIRATION DATE     ________________________________________________

Please provide credit card billing address
(if different from the shipping address):


ADDRESS ____________________________________________________________


CITY _________________________ STATE ________ ZIP __________________


Your credit card order is shipped the next business day after it is
received.  Please allow 5 to 7 days for checks to clear before shipment.

Note:  please do not send this form to us by regular e-mail.  Use our
secure server to order on line.