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 for initial 3 months *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 @ $390+gst /month= 1,287.00 +1.8% credit card surcharge *1 Camera – $1,310.002 Cameras – $2,620.003 Cameras – $3,930.004 Cameras – $5,240.00Three months minimum as it includes setup costs.10% off – Initial 3 Months Service per camera @ $390+gst /month -10% = 1,158.00 +1.8% credit card surcharge *1 Camera – $1,179.002 Cameras – $2,358.003 Cameras – $3,537.004 Cameras – $4,715.00Three months minimum as it includes setup costs.Initial 3 Months Service per camera @ $390+gst /month= 1,287.00 *1 Camera – $1,287.002 Cameras – $2,574.003 Cameras – $3,861.004 Cameras – $5,148.00Three months minimum as it includes setup costs.10% off – Initial 3 Months Service per camera @ $390+gst /month -10% = 1,158.00 *1 Camera – $1,158.002 Cameras – $2,316.003 Cameras – $3,474.004 Cameras – $4,632.00Three months minimum as it includes setup costs.Total Amount$0.00Credit Card *CardName on CardSubmit
