Common Computers Online Order Form

ENTER BILLING INFORMATION AND YOUR ORDER BELOW



	Credit Card Submission Form
	Charge it! Online Transaction
	Common Computers
	332 West Campbell Drive
	Midwest City, OK 73110
	Phone: 405-737-9970 Fax: 405-737-6049
	Accounting@CommonComputers.com

*Billing Information* (* Denotes Required Fields)
Full Name * Just as on the card:
Pick one:	Mr. Mrs. Ms.
Your Email Address: *
Company Name:
Address Line 1: *
Address Line 2:
City , State , Zip/Postal Code *:	US Format: 12345 OR 12345-6789
Country:*
URL if you have one:
Phone Number: *	US/CA format: 123-456-7890
Toll free Phone Number:	US/CA format: 123-456-7890
Fax Number:	US/CA format: 123-456-7890
Credit Card: *
Credit Card Number: *	Format: 1234-5678-9012-3456
Expiration: *	Month Year:
Authorize to charge. Orders will only be processed if this is selected	Yes, I hereby authorize this charge.
Comments: Please tell us how you discovered our web site.

ENTER YOUR ORDER HERE

Write the Items(Service Received, Drive size),
Quantity(or Hours) and
Price Quoted(or listed on Services page)
Item Quantity Price SubTotal

Item 1:

Item 2:

Item 3:

Item 4:

Item 5:

Item 6:

Item 7:

Item 8:

Add Sales Tax for parts if your billing address is in Oklahoma
(unless the tax is included in quote): 7.5%

CLICK TO THEN GO BELOW TO SUBMIT. Total
Investment:

If your shipping address is OTHER than the billing address:

Enter the Shipping Information Here
Ship To Instructions:

Item	Quantity	Price	SubTotal
Item 1:
Item 2:
Item 3:
Item 4:
Item 5:
Item 6:
Item 7:
Item 8:
Add Sales Tax for parts if your billing address is in Oklahoma (unless the tax is included in quote):		7.5%
CLICK TO THEN GO BELOW TO SUBMIT.		Total Investment: