PARTS ORDER FORM

Print this form then fill in the blanks and mail it to the address at the
bottom with your payment. Send money orders or checks.  No C.O.D.  No
credit cards accepted.  Orders  shipped to US addresses include postage.
Outside the US add $1.00 to cover the cost of mailing a 1 lb. package (.45 kg.)

Allow up to 30 days for order processing and shipment.

SHIP TO:                               DATE: _____________________________

_____________________________          E-mail: ___________________________

_____________________________          [ ] Add me to your mailing list

_____________________________

_____________________________


PART:        DESCRIPTION:              PRICE:        QUANTITY:      SUBTOTAL:

V-Dub       Voltage Doubler pcb       $10.00 ea.     _________      __________ 

Power       Power Supply pcb          $17.00 ea.     _________      __________ 

Mini        Mini-Booster pc board     $12.00 ea.     _________      __________ 

Mos         Mosfet Booster pc board   $12.00 ea.     _________      __________ 

GeBuff      Ge Buffer & transistor    $13.00 ea.     _________      __________ 

Multi	      Multi-Purpose pc board    $12.00 ea.     _________      __________ 

Opamp       Opamp Multi pcb           $12.00 ea.     _________      __________ 

2N1309      2 pcs. 2N1309 transistors $15.00 ea.     _________      __________  

AC188       2 pcs. AC188  transistors $15.00 ea.     _________      __________  

AC128       2 pcs. AC128  transistors $15.00 ea.     _________      __________  

2N404       2 pcs. 2N404  transistors $15.00 ea.     _________      __________  

Dual	      Dual Booster pcb          $13.00 ea.     _________      __________  

TB1	      True Bypass/Relay pcb     $10.00 ea.     _________      __________  
            1 board & 1 micro

TB2	      True Bypass/Relay pcb     $16.00 ea.     _________      __________  
            2 boards & 2 micros

CD-ROM      AMZ on CD                 $25.00 ea.     _________      __________ 

AMP v1.1    Analog Music Projects     $12.00 ea.     _________      __________ 
            (Mini-booster issue)

Muff-Rat eBook  (emailed to you)       $7.00 ea.     _________      __________ 

Screamer-Fuxxface eBook (emailed)      $7.00 ea.     _________      __________ 


                                                        TOTAL:      __________


                                                     SHIPPING:      __________


                                                  GRAND TOTAL:      __________

No currency other than U.S. accepted. PayPal links are available online.
All money orders & checks must be payable in $US. Make checks payable to Jack Orman               

MAIL ORDER FORM AND PAYMENT TO:

Jack Orman
P.O. Box 38
Pearcy, AR  71964
U.S.A.