Order Form

    Date:

    Merchant Information

    Shipping Information

    POS Bundle

    Bundle:

    Quantity:

    Type of database:

    Scanner:

    Quantity:

    Cash Drawer:

    Quantity:

    Dual Pricing:

    Percentage(%):

    Add-ons

    Credit Card Terminal:

    Quantity:

    Stand:

    *not applicable for D210

    Label Printer:

    Quantity:

    Label Roll:

    Quantity:

    Battery Backup:

    Quantity:

    5 Port Switch:

    Quantity: