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  iADVANCE computer order form

Please complete the following form if you wish to purchase any of the below products:

PLEASE WRITE IN CAPITALS

Last Name

Home Address

First Name

Email

Tel

Fax

EMPLOYERS DETAILS

Company

Organization's Address

Officer in Charge

Tel

Fax

Email

ORDER PREFERENCES [enter quantity against ur preferred pc(s)]

Discover PC

qty

Pentium 4

qty

Sahara Laptop

qty

Other not shown above (enter product name)

QTY

Upgrades available - place a tick against your preferred item or items below:

Additional 256MB RAM costs extra 400,000 (not available on the Discover)

Additional 40GB HDD costs extra 250,000

DVD/CDRW costs extra 300,000

Replace your CDR monitor with 17" LCD costs extra 1,400,000

Please tick the Internet service provider of your choice

Broadband4U

ZipNet

Busy Internet

None

PAYMENT PLAN

Payment in cash

12 monthly installments