Faxable Order Form

Compaq Assisted Services Price Catalog

Faxable Order Form

TO ORDER:

DECdirect
Compaq Computer Corporation
Nashua, NH 03061
1-800-Digital
FAX: 1-800-234-2298

CUSTOMER INFORMATION:

___________________________________________________________

For Part Number Assistance; please call 1-800-225-5385

Part Number ______________ Qty _____ Unit Price _____ Total ________

METHOD OF PAYMENT

< > VISA

< > MasterCard

Credit Card # _____________________ Expiration __________

Authorized Signature: __________________________________