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A LA CARTE ORDER FORM


Customer Information:

First Name:   Last Name:    

Street Address:   City:   State:

Zipcode:   Phn #:   E-Mail Address:

Core Components:

Processor:
Memory:


Motherboard:
Chasis:

Drives:

IDE/SCSI Hard Drive: Zip Drive:


IDE&SCSI CD/DVD: Floppy Drive:


Peripheral Cards:
Video Card: Sound Card:


Modem: SCSI Host Adaptors:

Accessories:
Keyboard: Mouse:


Speakers: Fan Heatsink


Additional Parts:
100MB Zip Cartridges (10)-$xxx
DVD Decoder(Must have if DVD is selected)-$xxx
120MB LS Cartridges (10)-$xxx
DVD Decoder(Must have if DVD is selected)-$xxx


Comments:



WITHIN 24 HOURS AN ATS ASSOCIATE WILL CONTACT YOU.

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