IEEE Order Form Item Quantity Unit Price Total Price Please Fill Out

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IEEE Order Form
Please fill out and return to an executive board member with cash or a signed check
made out to Bradley University IEEE attached.
Item
Total Price
Quantity
Unit Price
Breadboard kit
(breadboard + components)
________ X
$20.00
=
___________
Funduino UNO R3 & Cable
________ X
$15.00
=
___________
$60.00
=
___________
(Unofficial Arduino-compatible board)
Arduino-compatible kit
________ X
(unofficial Arduino board, motor, LCD display, breadboard shield, many other
components)
Lab Notebook
________ X
$20.00
=
___________
Tape
________ X
$02.00
=
___________
________ X
$20.00
=
___________
IEEE T-shirt
Size ___
Please Fill Out in Full
Total Amount Paid: _____________ via Check or Cash (circle one)
Name (Printed) ______________________________________ Date ______________
Email ________________________________________________________________
You will be notified by email when your item(s) have arrived.
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