Parts and Chips Order Form
Jackson Harbor Press
RR1, Box 91C
Washington Island, WI 54246-9718

Name:_______________________________________________________________________



Address:____________________________________________________________________



City:____________________________________ State:_______ ZIP:________________



callsign:_______________ e-mail address:____________________________________

Note that all chips are sent without documentation, download the source code
and schematic files from the JHP web site:  http://jacksonharbor.home.att.net

Checks and money orders are welcome - send with this form to address above.


For credit card orders, please click the Paypal button.


  Quantity       Part / Chip                                      AMOUNT   



  ________   programmed 16F628 project __________ chip, $4.00 $____________

  ________   LM2936, $2.00, a micropower 5V, TO-92 regulator  $____________

  ________   blank 16F628, $4.00                              $____________

  ________   small momentary switch, made in USA,  $1.00      $____________

  ________   medium momentary switch, made in USA,  $1.00     $____________

  ________   Empty Altoids tin, $0.75                         $____________

		Shipping/Handling: $2.00 in USA               $    2.00    
	      flat $2.00 shipping fee for chips only

	DX (all countries outside the USA) add $3.00 to s/h   $____________



		    Wisconsin residents add 5.5 % sales tax   $____________



						      Total   $____________