Silicon Pixels                                 Direct Order Form
                                               Date:   __________
Customer information

Full Name	:	__________________________________
Callsign        :       _____________ (or 6-character ID if not an amateur)
Email		:	__________________________________

Address 1	:	__________________________________
Address 2	:	__________________________________
City		:	__________________________________
State/Province	:	______________________
Zip/Postal code	:	______________________

Country		:	___________________________

Telephone	:	___________________________


I would like to purchase the following products from Silicon Pixels:

Product                                QTY     Price       Amount
-----------------------------------------------------------------
ChromaPIX SSTV Workstation             ____    $120 USD   _______
(first-time registration)              

ChromaPIX SSTV Workstation             ____    $ 84 USD   _______
(discount for registered W95SSTV or RH users)   

ChromaSound Audio DSP system	       ____    $ 50 USD   _______

W95SSTV for Windows 95/98/NT           ____    $ 50  USD  _______

Robot Helper                           ____    $ 65  USD  _______
(requires 1200C and interface card) 

Shipment on __ CDROM    __  diskettes  ____    $ 10  USD  _______

Replacement/Update CD only             ____    $ 10  USD  _______

                                               TOTAL    _________

Listed product prices include registration by email.
If you would like your order shipped on CDROM or 3.5" diskettes,
Please be sure to mark that on the order form.

Silicon Pixels
4802 Scenic Drive
Yakima, WA 98908 USA
TEL:  (509) 961-3780
WWW:  http://www.barberdsp.com