The Logic Group Order Form

Sales Quote #:

Quote Number:

Do you want to modify or add to the order?

If ordering a tablet, what type of pointer is needed (corded or cordless, pen stylus, 4 button or 16 button cursor)?

Customer Information - Bill to

Name

Company

Address 1

Address 2

City

State/Prov

Zip/Postal

Country

Phone

Fax

Email Address

Re-type Email Address

Notes

Customer Information - Ship to

Same as Bill to Customer Information

Name

Company

Address 1

Address 2

City

State/Prov

Zip/Postal

Country

Phone

Fax

Email Address

Re-type Email Address

Notes

Payment Options

Payment may be by credit card (preferred), company purchase order/invoice, wire transfer, paypal, check, or money order. Choose the option below:

Pay by Credit Card

Check here to pay by credit card (This is a SECURE SERVER)

Name on Card

Credit Card

Card Number

Expiration

For security, our CC processor requests we collect the security number and postal/zip code of the mailing address for the card:

Card Security Number:

Postal/Zip Code

Pay by Purchase Order/Invoice

Check here to pay by Purchase Order/Invoice

PO Number (Required)

Pay by wire transfer, Paypal, or Check

Pay by wire transfer

After receiving this order, we will email you the wire transfer instructions.

Pay by paypal

After receiving this order, we will email you a paypal invoice

Pay by check or money order

Send payment to: The Logic Group, 4712 Sinclair Ave, Austin, Texas 78756.

Finished. Click Submit button below to order

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