_______ MegaMemory Internet Order Form __________________________________________________________________________________________________________ RAM, DRAM, SDRAM, VRAM, PCMCIA, Cache, SIMM, SIMMs, DIMM, DIMMs, EDO, EDO-ECC, Parity, NonParity, Non-Parity,True Parity, L2, L2-Cache, Servers, Desktops, Portables, Laptops, PC, Clones, Mac, Mac-Clones, 30-Pin, 30pin, 64-Pin, 64pin, 72-Pin, 72pin, 168-Pin, 168pin, ACER, ALR, Ambra, Apple, AST, AT&T;, Brother, Canon, Casio, Cisco Systems, Commodore, Compaq, Daystar Digital, Dell, DEC, Digital Equipment Corporation, DTK, Epson, Everex, Fujitsu, Fujix, GateWay2000, Hitachi, Hewlett-Packard, IBM, Kyocera Printers, Mac, Macintosh, Micron, Motorola, NCR, NEC, Nikon, Okidata, Orange Microsystems, Packard Bell, Panasonic, Pionex, Power Computing, QMS, Radius, Roland Samplers, Samsung, Sharp, Silicon Graphics, SGI, Sony, Sun Microsystems, SuperMac, Tandy, Textronix, Texas Instruments, Toshiba, UMAX, Winbook, Zenith, VCI, Processor, 286, 386, 486, 586, Pentium, Pentium Pro, 68000, 68020, 68030, 68040, PowerPC, 601, 603e, 604, 604e.

Internet Order Form

For Electronic Transmission Only - Hit "Send Order" Button to Submit

1. Personal Information

Please enter your Name and Address as listed on your Credit Card Statement:

First

Last

Company

Address

City

State

Zip

Country

Please include contact info. (Day Phone Required for Carrier)

Day

Ext.

Hours:

How did you find us?

Night

Ext.

Hours:

("Yahoo", "Excite",etc.)

E-Mail

2. Credit Card Information

Credit Card # Exp. Date:

If you are using a Check Card / Debit Card please include
the bank it is drawn on and their telephone number to
expedite your order . You will usually find this info on the
back of the Check Card / Debit Card.

Bank Name Phone #

3. Product(s)

Your Computer is a:

Qty Order# Make Model Each Total

1.

2.

3.

4.

5.

4. Totals & Shipping
	Merchandise Total $
	Processing Charge $
	Subtotal $
	Sales Tax (8.25% CA Only)
	2nd Day Delivery $
	Overnight Delivery $
	Total Charges $

Thank You for Your Order!

Comments/Ship-To Address (if different than above - delays may result):