Schoolphones Order Form

Billing Information

Name
School/ Company
Purchase Order
Address
City State   Zipcode 
County
Phone  
Fax
email

Shipping Information

               Shipping Address same as Billing Address?
Name
School/ Company
Address
City State   Zipcode 

Headphones

Qty Order No. Description Price
SP-1 Original Schoolphone $ 4.50 each
K-4 Small Child's Headphone $ 5.00 each
K-4a Small Child's Headphone Audiology Version $ 15.00 each
BP Backphone $ 4.50 each
M2 Multi-media Headphone $ 13.50 each
M2W Multi-media Headphone w. PC-Widget $ 21.00 each
CPK Classpack w. SP-1 Headphones $ 125.00 each
CPK-4 Classpack w. K-4 Headphones $ 137.50 each
CPK-B Classpack w. Backphones $ 125.00 each
CPK-M Classpack w. Mult-media Headphones $ 350.00 each

Speech Products

Qty Order No. Description Price
CVOXPRO Chattervox Pro $ 199.00 each
CVOXEXTREME Chattervox Extreme $ 239.00 each
CBOX-BASIC Chatterbox Basic $ 329.00 each
CBOX-PRO Chatterbox Pro $ 649.00 each
CBOX-PRO2 Chatterbox Pro2 $ 769.00 each
CPAKsys Chatpack $ 1,149.00 each

Adaptors

Qty Order No. Description Price
VM1.3 PC Widget w. 1 meter cord $ 9.50 each
VM1.3L PC Widget w. 1.5 meter cord $ 9.50 each
PCW-LC100 Compact Listening Station $ 13.50 each
AS3.5/6.3S Adaptor 3.5mm ST jack to 3.5mm plug $ 3.00 each
SP-1pad Replacement Earpads for SP-1 (100 pk) $ 30.00 each
K4pad Replacement Earpads for K-4 (100 pk) $ 59.00 each
BPpad Replacement Earpads for BP (100 pk) $ 59.00 each
EPADCPK Sanitary Ear covers (100 pk) $ 59.00 each
AWIPE Audio Wipes (160 wipes per pack) $ 15.50 each
AY3.5S/3.5S Y-cable dual 3.5mm ST to 3.5mm ST plug $ 4.00 each
AD3.5S/3.5S Adaptor dual 3.5mm ST jack to 3.5 ST plug $ 3.00 each
AD3.5S/6.3S Adaptor dual 3.5mm ST jack to 6.3mm ST plug $ 3.00 each
A6.3S/3.5S Adaptor 6.3mm ST jack to 3.5mm ST plug $ 3.00 each

Keyboards

Qty Order No. Description Price
BKB Big Keyboard $ 69.95 each
BKB-EZ EZVue Big Keyboard $ 69.95 each
BKB-KEYPAD Big Number Keypad $ 49.95 each
BKB-EZP Big Keypad EZVue $ 49.95 each

Comments or Special Instructions