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@
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