USB CI-V (CIV) Icom Interface

--- Black Cat Systems USB CI-V Interface CHECK / MONEY-ORDER ORDER FORM ---

Please print and fill out this order form, and include with your payment

Qty Item Each Total

____ USB CI-V Interface $59.00 ___________

____ USB CI-V 2 Port Interface $69.00 ___________

____ USB CI-V 4 Port Interface $89.00 ___________


Shipping ($10.00 US, $30.00 elsewhere, this includes Canada) ___________

Maryland Residents add 6% sales tax ___________

Total ___________

All prices are in US dollars. Payment must be either a US Postal or
International money order, or a US check drawn on a US bank. Checks held
until cleared.


Your shipping address:

Name: _________________________________________________________________

Address: ______________________________________________________________

City: ________________________________ State: _________________________

Zip or Postal Code: __________________ Country: _______________________

Email address: ________________________________________________________
Including your email address is VERY important as this is how we will
contact you with any questions regarding your order.

Please make checks and money orders out to: Black Cat Systems

Mail This Form To:

Black Cat Systems
4708 Trail Court
Westminster, MD 21158
USA

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