Order FormPlease enable JavaScript in your browser to complete this form.Name *FirstLastCompany NameIf applicableContact Email *Accounts EmailIf different from contact emailPhone *Business Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeDelivery AddressSame as business addressDelivery Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeStart Date *Estimated length of project *3 months or less4-6 months7-9 months10-12 months12 months plusPurchase Order or Project Reference *Comment or Messageeg. Interior jobPayment Method *Pay with credit card (+1.8% credit card surcharge)Pay via EFT/Bank Transfer Bank transfer details will show on next page.Initial 3 Months Service per camera @ $360+gst /month= 1,155.00 +1.8% credit card surcharge *1 Camera – $1,209.002 Cameras – $2,418.003 Cameras – $3,628.004 Cameras – $4,836.00Three months minimum as it includes setup costs.10% off – Initial 3 Months Service per camera @ $360+gst /month -10% = 1,040.00 +1.8% credit card surcharge *1 Camera – $1,088.002 Cameras – $2,176.003 Cameras – $3,265.004 Cameras – $4,353.00Three months minimum as it includes setup costs.Initial 3 Months Service per camera @ $360+gst /month= 1,155.00 *1 Camera – $1,188.002 Cameras – $2,376.003 Cameras – $3,564.004 Cameras – $4,752.00Three months minimum as it includes setup costs.10% off – Initial 3 Months Service per camera @ $360+gst /month= 1,155.00 *1 Camera – $1,069.002 Cameras – $2,138.003 Cameras – $3,207.004 Cameras – $4,276.00Three months minimum as it includes setup costs.Total Amount$0.00Credit Card *CardName on CardSubmit
