Data General AViiON 5500 Series, Installing, Expanding, And Maintaining

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Purchase Order Attached ($50 minimum)
P.O. number is
. (Include hardcopy P.O.)
Check or Money Order Enclosed
Visa
MasterCard ($20 minimum on credit cards)
Account Number
SHIPPING & HANDLING
QTY ORDER # DESCRIPTION
UNIT
PRICE TOTAL
PRICE
ORDER TOTAL
Less Discount
See B
SUBTOTAL
Your local**
sales tax
–
+
Tax Exempt # or Sales Tax
(if applicable)
Data General is required by law to collect applicable sales or use tax on all
purchases shipped to states where DG maintains a place of business, which
covers all 50 states. Please include your local taxes when determining the total
value of your order. If you are uncertain about the correct tax amount, please call
1–800–343–8842.
BILL TO:
COMPANY NAME
ATTN:
ADDRESS
CITY
STATE
ZIP
SHIP TO: (
No P.O. Boxes - Complete Only If Different Address
)
COMPANY NAME
ATTN:
ADDRESS (NO PO BOXES)
CITY
STATE
ZIP
TIPS ORDER FORM
Mail To: Data General Corporation
Attn: Educational Services/TIPS A131
4400 Computer Drive
Westboro, MA 01581 - 9973
**
Authorized Signature of Buyer Title Date
(Agrees to terms & conditions on reverse side)
Phone (Area Code) Ext.
Shipping and
handling – See A
TOTAL – See C
+
PAYMENT METHOD
(Credit card orders without signature and expiration date cannot be processed.)
Authorized Signature
Expiration Date
THANK YOU FOR YOUR ORDER
VOLUME DISCOUNTS*
Order Amount Save
$500.00–$999.99 10%
Over $1000.00 20%
A
PRICES SUBJECT TO CHANGE WITHOUT PRIOR NOTICE.
PLEASE ALLOW 2 WEEKS FOR DELIVERY.
NO REFUNDS NO RETURNS.
B
C
Priority Code ______________________ (See label on back of catalog)
# of ITEMS ADD ADD
1–5 Items $5.00 $15.00
6–10 Items $10.00 $25.00
11–40 Items $15.00 $35.00
41–100 Items $50.00 $70.00
100+ Items $100.00 *Call for Charges
V
UPS
V
These rates apply to 48 contiguous states.
Does not apply to maintenance documentation. *
Check Shipping
Method
Airborne
(Overnight)