Send Fax to:  886-2-2737-1381

IOSS Products Order Form

2007/Mar.

Please contact with Sophia at sophia@ioss.com.tw before you send order form.

Item

Description

Unit Price

Qty.

Sub-Total

 RD1-2M For 32pin 2Mbit DIP Flash ROM system NT$ 730  (US$22.00)
 RD1-PMC2 For 32pin 2Mbit PLCC LPC/FWH System NT$ 800  (US$24.00)
 RD1-PMC4 For 32pin 4Mbit PLCC LPC/FWH System NT$ 830  (US$25.00)
 RD1-LPC8 For 32pin 8Mbit PLCC LPC System NT$ 920  (US$28.00)
 RD1-FWH8 For 32pin 8Mbit PLCC FWH System NT$ 920  (US$28.00)
 RD7-TFC PC Cooling/ Fan control device  NT$ 800 (US$24.00)
Shipping fee    (First 1set) NT$ 350 (US$10.50) 1 NT$350
Shipping fee   (per additional set)
NT$ 100 (US$3.00)
ex. Shipping fee of total 3 sets would be NT$550      (NT$350+NT$100*2 )
   Grand Total


Purchaser Information  (Please fill in block letters.  For prompt and no-error shipment, please send an e-mail to sophia@ioss.com.tw with order qty, name, address, and phone number.  Typing is preferable.)

Name:
_______________________ ,
______________________ E-mail address ___________________________________
                
Last name                       First name
Shipping Address: Street _______________________________________________________________________________________________

City __________________________ State______________________ ZIP_________________ Country________________

Tel ____________

Credit Card (please check one)     ___VISA Card      ___ Master Card     ___ JCB Card   

Card number

        -         -         -        
Seurity Code 3 digit code printed on back side of credit card
     
Expiration Date : ________  /  ________
                             
Year                Month
Signature: _____________________________________

IOSS Use Only

Order Received by

 

Shipped by Credit Authorization Date  Credit Authorization Number