TetraMouse Order Form Items Price Total ____ TM05 - TetraMouse w/Joysticks 1 inch (25.4mm) apart $250.00 __________ ____ TM06 - TetraMouse w/Joysticks 1.75 inch (44.4mm) apart $300.00 __________ ____ TM07 - TetraMouse w/Joysticks 1 inch (25.4mm) apart $300.00 __________ ____ TM08 - TetraMouse w/Joysticks 1 inch (25.4mm) apart $350.00 __________ The TetraMouse comes with Frosted Ball Knobs (option K06) at no extra charge. Enter any additional knob sets you want (Sets consists of 2 knobs): ____ K01 - Polished Ball Knobs (5/8" diameter, clear acrylic) $5.00 __________ ____ K02 - Tongue Cup Knobs (5/8" diameter with 1/2" wide cup) $8.00 __________ ____ K04 - Dropper Bulb Knobs (1/2" diameter, 1-1/4" long) $6.00 __________ ____ K05 - Frosted Ball Knobs (5/8" diameter, polypropylene) $5.00 __________ ____ K06 - Sm.Frosted Ball Knobs (1/2" diameter, polypropylene) $5.00 __________ USB Options: ____ USB1 - USB to PS/2 Connector Adapter $7.00 __________ ____ USB2 - 10-foot USB Extension Cable $3.00 __________ Choose the type of mounting system: ____ M04 - Articulated Arm w/Super Clamp $80.00 __________ ____ M05 - Articulated Arm w/Flange Mount $65.00 __________ External Switch Jack Options: ____ X02 - 2 Ext. Switch Jacks (remote left & right click) $30.00 __________ ____ X04 - 4 Ext. Switch Jacks (remote click & speed control) $40.00 __________ ____ X08 - 8 Ext. Switch Jacks (remote control all functions) $50.00 __________ TetraZap Adapted Universal Remote Controller: ____ TZ01 - TetraZap with Joysticks 1.25 inch (32mm) apart $100.00 __________ Subtotal __________ Tax (Washinton State resident ONLY) If you are a resident of Washington State enter 9.5% sales tax (To calculate WA state sales tax multiply the subtotal by .095) WA Tax __________ Shipping Charge: For orders from outside the U.S. or if you are ordering more than one TetraMouse, please contact TetraMouse to determine the cost of shipping and handling, then enter the quoted amount below. ____ Shipping to US, US possessions or US military addresses $20.00 __________ ____ Shipping outside the US Contact TetraMouse for quote __________ Total __________ Enter your email address to receive an email confirmation of receipt of your order: Email: _____________________________________________________________ To order by US Mail, include a money order, cashier's check or company or organization check (sorry, no personal checks accepted) made payable to TetraLite Products for the total amount (in US dollars) along with this order form (or equivalent information) and send to: TetraLite Products 2200 NE 88th St Spc 11A Seattle WA 98115-8308 To order using a credit card (through PayPal), please contact TetraLite Products.