Order & Information Form

Name

Day phone Evening phone

Address

City State Zip

Preferred email address

Computer Optima Home/Student P200 Optima Home/Student P233 Optima Office PII 266 Optima Office PII 300 Optima Office PII 400 Optima Server Series Info

Monitor 14" SVGA 28 dp 15" SVGA 28 dp 17" SVGA 28 dp 17" SVGA 26 dp

System Upgrade, Repairs and Information Request:

Cheshire County USA East Swanzey, N.H. 03446