Erickson Electronics
1101 S. McKnight Rd. * St. Paul, MN * 55119-5975
(651) 738-0903

QM-6 Upgrade Order Form

Use your browser's "print" settings to print out the following order form. Please fill out completely and mail along with your shipping label and your payment.

Chart B
Item/Description Quantity Price Total Price
QM-6 Factory Upgrade $95 Each
QM-6 Return Shipping
(same as above) (see chart below)

Prepaid orders only. Checks or money
orders accepted. No CODs
Shipping & handling
1 Buzzer system $18
Each additional system add $10

Please complete the following information:

Thank You for your order!

Name: _____________________________________

Address: ___________________________________


City: ________________ State: ____ Zip:________

(___)______________  (___)______________
Home Phone                  Work Phone