Crafts
Electronics
Software
Shipping Address Name Organization Address Address Town, State, Zip Country Telephone
| Index | Qty | Model | Description | Unit Price | Line Total |
|---|---|---|---|---|---|
| 1 | _ | _ | _ | _ | _ |
| 2 | _ | _ | _ | _ | _ |
| 3 | _ | _ | _ | _ | _ |
| 4 | _ | _ | _ | _ | _ |
| 5 | _ | _ | _ | _ | _ |
| 6 | _ | _ | _ | _ | _ |
| 7 | _ | _ | _ | _ | _ |
| 8 | _ | _ | _ | _ | _ |
| 9 | _ | _ | _ | _ | _ |
| 10 | _ | _ | _ | _ | _ |
| _ | _ | _ | _ | Subtotal | _ |
| _ | _ | _ | If Applicable | CA Tax | _ |
| _ | _ | _ | _ | S&H | $10.00 |
| _ | _ | _ | _ | Total | _ |
Mail this form with your payment to: Nyles Nettleton 1368 Hacienda Court Campbell, CA 95008-6337 Don't forget to make yourself a copy of this form for your records.