Online Order Form
    Easy as 1...2...3...
Just click on the arrow to select the
correct information and fill out each
line as completely as possible
then hit the Submit button..

Note: Dont't forget to print this form
so to keep your own records
Sales  Tips:
Over 9,000 Local Dial up Numbers
Online Tec Support
In Home PC Repair
Continental Internet Availability
Long Distance
Home Security
Cellular Service
Paging
DSL
Satelite TV Service
Toll Free 800 Service
Referal Discounts
Online Billing
10% of profits go to Local Charities

Monthly Charity:
MAP
Metrolina Aids Project
informing a global community of just the facts and support
Sales Rep
Click Below for our sales ad
Reseller ID
customer code
Customer Information
Name
Address
APT #
Additional Notes:
Directions or special information
City
State
Zip Code
e mail address
Telephone
Requested ID or Logon
Requested Password
Services
Additional Installation Information Here:
Upsell and get additional Bonus today!
Subtotal of Fees
Sales Tax
TOTAL
Method of Payment
PC Information
Operating System
Other Operating System
Brand of PC
Hard Drive Space
Ram
Processor
Note: Please e mail the installer, Billing and the customer for a complete order
Scheduling
Tec
Mon Wed
Tue
Thu Fri
Sat Loca
10/6 10/8
10/7
10/9 10-10
10/11
Lewis Jr 9-9 off
off
9-9 off
9-9 Salisbury Nc
24 na4-9p
Shane 24
na6-2p na8-4 Kann
na8-9p
on call on call
Rose on call
on call on call Stan
on call
on call on call
Ray on call
on call on call Kannapolis Nc
on call
on call on call
Woody on call
on call on call
on call Stanfield Nc
on call on call
David on call
on call on call
on call China Grove Nc
on call on call
Lewis Sr. on call
on call on call
on call
Bradford Pa
Gene on call on call
on call
on call on call Bradford Pa
on call
Note: If there is on one in the office it may take up to 24 hours to activate an account