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RDM CUSTOMER ORDER FORM
Quantity Item Per Unit
_______ Refurbished RDM Synergy I Terminal (P/N: 8224F): $359.99
_______ New EC 7011F Imager: $459.99
_______ New EC 7011F Imager w/ Franker: $509.99
_______ New EC 7111F Imager w/ Franker & MSR: $559.99
_______ Refurbished EC 7011F Imager w/ Franker: $369.99
_______ New EC 6014F Imager w/ Franker: $439.99
_______ New EC 6014 Imager: $434.99
_______ Refurbished EC 60XXF Imager w/ Franker: $219.99
_______ Refurbished EC 60XXF Imager: $209.99
_______ RDM - USB Cable: $39.99 ($19.99 w/ Unit)
_______ RDM - Hypercom T7Plus/ICE 5500 Cable: $34.99 ($24.99 w/ Unit)
_______ RDM - Verifone Omni Cable: $39.99 ($24.99 w/ Unit)
_______ UPS Ground Shipping: FREE
_______ 3-Day Shipping or Factory Drop Ship: $35.00
Add $9.99 Per additional Unit Ordered: $________
Total: $__________
- All Units come with Power Supply and 12-Month Warranty.
- All Units Ship UPS Ground Free
Total: $__________
Payment Method
Visa or MasterCard (Circle One) – NO AMERICAN EXPRESS OR DISCOVER
Name on Card:
Card Number: Expiration:
CVV2: (3 Digit Code From Signature Line)
Billing Address: _____________________________
City: _________________________________ State: ________ ZIP: ________________
Phone #: ______________________ e-mail: __________________________________________________
Ship To:
Card Holder Signature: Date:
IF PAYING BY CHECK – JUST MAIL YOUR CHECK IN WITH THIS FORM - FORMS NOT FILLED OUT PROPERLY WILL CAUSE DELAYS
20% Re-Stocking Fee On All Return Product – Please Check Our Website For Return Policy
497 Hooksett Road, Suite #181
Manchester, NH 03104-2650
Voice: 603-644-6137 / Fax: 603-218-7600
orders@posdirectsales.com
REV. 0309
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