FOXNet_OrderForm5_0 FOXNet_Order Form5_0 FOXNet Order Form5 0
User Manual: FOXNet_OrderForm5_0
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Satellite Receiver ORDER FORM FOX Net Care must be taken when ordering to ensure that the special FOX Net software and configuration is loaded (FOX Net specific decryption chip, etc.) To order, complete this form and fax it to WEGENER sales at the number below. If any email address is provided, order confirmation will be sent via email. FOX Net Affiliate Description / Method Item Price Each (USD) 1 UNITY4600 configured for FOX Net Model Number UNITY4600-006 2 Shipping Method (write in the letter from table below) 3 Sales Tax Qty Sub-Total $1,495.00 Method Calculate using method table below WEGENER standard terms and conditions apply to sale. Terms are on the backside of sales orders or contact Wegener sales for a copy. Shipping Method Table A B C D E F UPS 3 Day Select UPS Ground $25 $20 FedEx Overnight FedEx 2 Day UPS Next Day UPS 2nd Day Air $50 $35 $55 $40 SOLD TO: Company: _____________________________________________ Wegener Customer No. (if known): _____________________________________________ Email: _______________________________________ Wegener Communications, Inc. Attention: FOX Net Affiliate Program 11350 Technology Circle Duluth, GA 30097 Phone (770) 814-4000 Sales FAX (770) 623-0698 Check if same as SOLD TO Information Contact Name: _____________________________________________ Phone: ( ) - Address: _____________________________________ FAX: ) - City: ________________ St:_______ ZIP:__________ ( Payment Methods ___ Check Enclosed ___ Current Term Account ___ MasterCard ___ Visa Card #: _____________________________________ Control number (back of card) __________________ Name on Card: _____________________________________________ Card Exp. Date (mo./yr.) _____________________ Purchase Order #: _____________________________________________ Authorized Signature: __________________________________ Delivery: Concerted effort is made to allow delivery to be 1-2 weeks after receipt of order. For planning, allow 4-6 weeks for delivery. FOXNet_OrderForm5_0.doc 11/20/2006 at 9:48 AM
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