
                                         Order and Invoice
Syncom, Inc.
161 Austin Drive #124
Burlington, Vermont 05401


Ship to:
Name:           _______________________________________________________
Company         _______________________________________________________
Department      _______________________________________________________
Address:        _______________________________________________________
City, State Zip _______________________________________________________
Phone:          _____________________________


Please Enter the following order:

Quantity 
Ordered    Description                                 Price Ea.        Ext

_______      Ticker Scrolling Control for Visual Basic  $19.00*   $________.__

_______    LED Display Custom Control for Visual Basic  $19.00*   $________.__

                      New Jersey & New York residents 
                            add applicable sales tax.             $________.__
                                  Shipping & Handling                    $3.00

                                                 Total:           $___________

* International Orders add $5.00
Please make checks and money orders Payable to: Syncom, Inc.




Mail this order to:
Syncom, Inc.
161 Austin Drive #124
Burlington, Vermont 05401
or fax your order to 1-802-658-0808

