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A.G. Computer Center, Inc. accepts Money Orders, Checks, Visa,
MasterCard, and American Express. We provide this printable order form for you
to complete and mail or fax to us. Return the completed form along with your
payment or credit card information to the address below. MAIL & FAX
ORDER FORM 
Print out this form and MAIL or FAX.
From: ____________________________________________
Date: _____________________________________________
Page 1 of ___________________
ITEMS TO ORDER:
Item#.........Description....................................Price................
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
_________________________________________________________
- Your name (as on credit card):_______________________
- Street address:______________________________________
- City:_____________________________________________
- State:___________ Zip Code____________ Country _______
- E-mail address:_______________________________
- Daytime phone: (_____) _________________________
- Evening phone: (_____)__________________________
- Your fax number (for order confirmation): (____) ____________
- Check___ MoneyOrder___ Visa___ MasterCard___ American Express___
- Credit Card Number: ____________________________
- Expiration Date:________________________________
- Signature: ____________________________________
- Total ___________
- Shipping: Desktop Computers Add $25.00 ___________
- Shipping: Laptop Computers Add $20.00 ___________
- Shipping: All Other items Add $15.00 ___________
- NJ Residents MUST include 6% Sales Tax ___________
- GRAND TOTAL ____________
Mail Order to: A.G. Computer Center, Inc.
184 Rivervale Road
Rivervale, NJ 07675
Fax Order to: 1-201-666-0530
Any questions, please send an e-mail before you order.E-Mail
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