      FROM:

      ..............................        Call Sign...............

      ..............................

      ..............................


      BayCom - Team
      Rudi Dussmann, DK5RQ
      Otto-Hahn-Str. 9

      D-8400 Regensburg                       Date:.....................




      Herewith my order for the following Item(s):
      (Please indicate Quantity required)
      ------------------------------------------------------------------
      Artical                                                    Price
      ------------------------------------------------------------------
      (  ) Program BayCom with Manual, 5 1/4" Disk              DM 20.--

      (  ) Program BayCom with Manual, 3 1/2" Disk              DM 20.--

      (  ) RS232 Modem, complete Components incl. TCM 3105
           with Manual and BayCom-Software                      DM 89.--

      (  ) Additional kit to build on digital Squelch           DM 10.--

      (  ) Empty PCB for the RS22 Modem with Construct.Info     DM 12.--

      (  ) Surface Mount Modem Kit complete with all parts
           incl. RS232 Plug & Shell 9 Pin & BayCom-Software     DM 94.--

      (  ) As previous item but with 25 Pin RS232 Plug and
           Shell                                                DM 94.--
      ------------------------------------------------------------------
                                                    Total DM
      ------------------------------------------------------------------

      The Method of Payment:

      (  ) has been transferred to the Konto of BayCom-Teams:
           Rudi Dussmann,
           Kto 190786-859, Postgiroamt Nuernberg, BLZ 76010085

      (  ) Cheque enclosed with this order


      Remarks:

      ..................................................................

      ..................................................................

      ..................................................................


      Signature:..................................
