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Order Information

  • Phone: 1-(718)-461-4005, Sales: 1-(516)-236-7733
  • Fax: Print this form and fax it to: 1-(718)-460-0697
  • Mail: Send this form to Converge Horizons, Inc. 65-43 167th Street Fresh Meadows, NY 11365, USA

Terms of payment

  • Wire transfer in advance. Other terms of payments are available for users in the US.

Delivery

  • For hardware: approx. 45-60 days after payment is received
  • For software: approx. 15-30 days after payment is received

Warranty

  • Each product comes with its standard factory warranty. All warranty terms are considered starting from the date of shipping

Order Form

Item #             Description                                             Quantity

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Shipping address

* Name

* Company

* Address

* City

* State

* Country

* Zip

* Email

* Tel (Country Code, Area Code, Phone Number)

*Fax (Country Code, Area Code, Phone Number)

* required fields

* required field for US customers only

Billing address

 Uncheck (and complete the fields below) if billing address is different than shipping address

Name

Company

Address

City

State

Country

Zip

Email

Tel (Country Code, Area Code, Phone Number)

Fax (Country Code, Area Code, Phone Number)