Order Information
Phone:  (800).266.7440 or (516) 775-7800
Fax:   Print this form and fax it to (516) 775-7822
Mail:  Send this form to
Computers & Software Sales Inc.
501 Mecham Ave, Elmont. New York 11003

Terms & Conditions
Please call us for questions related to sales and support terms & conditions.
You might also qualify for a free shipping and handling.
All local in state customers are subject to 8.25% sales tax.Please add this
amount to your total price in the following Order Form.

Order Form
Computers & Software Sales, Inc.

Product Price Qty. Total Subtotal Tax Total

Shipping Address

Name Address             City State Country Zip Email

Billing Address
  Check if same as shipping address

Name Address             City State Country Zip Email

Billing Information

Credit card Name on Card Card number Expiration