FOXSport_OrderForm1_0 FOXSport Order Form1 0
User Manual: FOXSport OrderForm1 0
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Satellite Receiver ORDER FORM FOX Sports – Big Ten Network 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 UNITY4600-110 2 Shipping Method (write in the letter from table below) 3 Sales Tax (CA, GA, FL, NC, NJ, NV, TX, WA) Qty Sub-Total $1,350.00 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 FedEx Overnight FedEx 2 Day UPS Next Day UPS 2nd Day Air UPS 3 Day Select UPS Ground $50 $35 $55 $40 $25 $20 SOLD TO: Company: _____________________________________________ Wegener Customer No. (if known): _____________________________________________ Email: _______________________________________ Wegener Communications, Inc. Attention: FOX Sports – Big Ten Network 11350 Technology Circle Duluth, GA 30097 Phone (770) 814-4036 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. FOXSport_OrderForm1_0.doc 8/20/2007 at 4:03 PM
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