CFNnet Product Order Form



CFNnet Product Order Form

(All below information must be completed before an order can be processed.)

Participant Number and Name:

CFN Site Number:

Site Name:

Site Address:

City/State/Zip:

Tranz Machine Phone Number:

Site Phone Number and Contact:

Shipping Address:

City/State/Zip:

Please specify shipping: Ground: _____ Next Day: _____2nd Day: _____3rd Day: _____

Time Zone (Eastern, Central, Mountain, Pacific):

Daylight Savings: Yes: ________ No: _____

Equipment needed: (please specify quantity)

R-Tranz 380/Pin Pad 1000/Printer 900* (Package Price = $332.00)

Download Application Only (TBD)

_____ Cable to Ruby (380___) ($35.00)

(Ruby Cable also for Sapphire)

_____ Cable for G-Site (380___) and adapter ($35.00)

(G-Site cable also for Passport and Wayne Nucleus)

_____ Replacement Cable to Printer from Tranz 380 ($10.00)

_____ Replacement Cable to Pin Pad from Tranz 380 ($10.00)

_____ Pin Pad 1000 ($114.00)

_____ R- Printer 900* ($99.00)

_____ R-Tranz 380* ($109.00)

*Refurbished

The package price includes all cables and one download. It DOES NOT include any expedite charges or shipping costs. All equipment is under 1 year warranty, some restrictions might apply at the discretion of the Vendors and Manufacturers.. Orders will be processed in the order they are received. Generally, orders will be shipped 7-10 business days from the date the order is received. Hardware returned is subject to a 20% restocking fee. Returns must be unused and in original packaging. Prices subject to change without notice.

Equipment will be shipped when site is approved and billed separately.

A fee of $500.00 for the registration of a CFNnet site must be submitted with site registration.

Signature: Date:

EMAIL COMPLETED FORM TO The Help Desk:  PMHelpDesk@

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download