Online Order Form

Please complete this form, then click the submit button at the bottom of the page. .

Your Name or Department Name:

Department Mailing Address



Department Phone Number:  Best Time to Call
Department Fax Number: (optional)
Which version of Windows do you use?
Are you on a Network? Yes      No
What Model of Printer Will You Use to Print Your Bills ?
Department's Email Address        
Approximately How Many Meters Do You Bill for Each Month ?
Ship to address if other than mailing address.
Contact person name, address, phone number.
Comments or additional remarks.