GreatPricedLaptops.com

Order Form

In order to process your order you need to do the following:

1. Print this page using the print option on your browser.

2. Complete the information on the form.

TO ORDER BY MAIL:  Mail Completed form & check/money order to:  

GreatPricedLaptops.com 
ATN:  CHRIS DEMARINIS
305 S. Highland Rd 
Sister Bay, WI 54234

TO ORDER BY FAX:  Complete Form & Fax to:  (920) 854-1826

5. If you have any questions please call (920) 421-1905.

6. We recommend that any mailed payments be sent using a tracking method (such as delivery confirmation, fed ex, etc) to ensure payment is received.

Thank You!!

Quantity	Item Description	Price Each	Total
		Shipping & Handling ($25/Computer)
		TOTAL

Order Amount: _________________________________

Name: ______________________________________________________

Address: _________________________________________________________________________

City: _____________________________________ State: ________________ Zip: ______________

Email: ___________________________________

If Paying By Credit Card:

Name on Card: __________________________________________________

Credit Card Number: ______________________________________________

Expiration Date: ______________________

Security Code On Back Of Card: ___________________

Signature:______________________________________________________Date:________
By signing this I attest to being of legal age in my state and that I am authorized to use the above credit card to purchase these items.  If faxing or e-mailing information I authorize greatpricedlaptops.com permission to charge the above amount shown.