Designtech Engineering Purchase Order Form

Please fill out the following information and press the SUBMIT button
Note: All the following information will be held in strict confidence and used only internally for request needed.

Information will never be sold or given to any other party.

Ship To: (required) Billing address: (only fill out if different from ship to)

name
company
phone
fax
email
ship to address
city, state
zip
country

special

instructions

Please fill in the following to order:

Purchase Order number: (required)

Payment Information: Net 30 account COD prepay

T = Touch Screen, B = Bezel, V = 5 and 9 to 26VDC input option, D = Development Kit

GTC100

GTC100 T B D Qty (ship now) and/or Release Qty on this date

GTC200

GTC200 T B V D Qty (ship now) and/or Release Qty on this date

GTC300

GTC300 T B V D Qty (ship now) and/or Release Qty on this date

GTC301

GTC301 T B V D Qty (ship now) and/or Release Qty on this date

GTC600

GTC600 T B V D Qty (ship now) and/or Release Qty on this date

GTCM1 - graphic controller board

GTCM1 V D Qty (ship now) and/or Release Qty on this date

To order press submit