FOXNet_OrderForm5_0 FOXNet_Order Form5_0 FOXNet Order Form5 0

User Manual: FOXNet_OrderForm5_0

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FOXNet_OrderForm5_0.doc 11/20/2006 at 9:48 AM
Payment Methods
___ Check Enclosed ___ Current Term Account
___ MasterCard ___ Visa
Card #: _____________________________________
Control number (back of card) __________________
Name on Card:
_____________________________________________
Card Exp. Date (mo./yr.) _____________________
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.
Item Description / Method FOX Net Affiliate
Price Each (USD) Qty Sub-Total
1 UNITY4600 configured for FOX Net
Model Number UNITY4600-006 $1,495.00
Method
2 Shipping Method (write in the letter from table
below)
Calculate using
method table
below
3 Sales Tax
WEGENER standard terms and conditions apply to sale. Terms are on the backside
of sales orders or contact Wegener sales for a copy.
SOLD TO:
Company:
_____________________________________________
Wegener Customer No. (if known):
_____________________________________________
Email: _______________________________________
Phone: ( ) -
FAX: ( ) -
Contact Name:
_____________________________________________
Address: _____________________________________
City: ________________ St:_______ ZIP:__________
Purchase Order #:
_____________________________________________
Authorized
Signature: __________________________________
A B C D E F
Shipping
Method
Table FedEx
Overnight
FedEx
2 Day
UPS
Next
Day
UPS
2nd
Day
Air
UPS 3
Day
Select
UPS
Ground
$50 $35 $55 $40 $25 $20
Satellite Receiver
ORDER FORM
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
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.

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