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Customer Order Form

Buyer Information:
Company Name (if applicable):
Phone Number (incl. area code):
Buyer’s Last Name:
Buyer’s First Name:
Address1:
Address2:
City:
State:	Choose a State AK Alaska AL Alabama AR Arkansas AZ Arizona CA California CO Colorado CT Connecticut DC District of Columbia DE Deleware FL Florida GA Georgia HI Hawaii IA Iowa ID Idaho IL Illinois IN Indiana KS Kansas KY Kentucky LA Louisiana MA Massachusetts MD Maryland ME Maine MI Michigan MO Missouri MN Minnesota MS Mississippi MT Montana NC North Carolina ND North Dakota NE Nebraska NH New Hampshire NJ New Jersey NM New Mexico NV Nevada NY New York OH Ohio OK Oklahoma OR Oregon PA Pennsylvania RI Rhode Island SC South Carolina SD South Dakota TN Tennessee TX Texas UT Utah VA Virginia VT Vermont WA Washington State WI Wisconsin WV West Virginia WY Wyoming
Zip Code:
Email Address:
Ship To Address (if different)
Attention:
Address1:
Address2:
City:
State:	Choose a State AK Alaska AL Alabama AR Arkansas AZ Arizona CA California CO Colorado CT Connecticut DC District of Columbia DE Deleware FL Florida GA Georgia HI Hawaii IA Iowa ID Idaho IL Illinois IN Indiana KS Kansas KY Kentucky LA Louisiana MA Massachusetts MD Maryland ME Maine MI Michigan MO Missouri MN Minnesota MS Mississippi MT Montana NC North Carolina ND North Dakota NE Nebraska NH New Hampshire NJ New Jersey NM New Mexico NV Nevada NY New York OH Ohio OK Oklahoma OR Oregon PA Pennsylvania RI Rhode Island SC South Carolina SD South Dakota TN Tennessee TX Texas UT Utah VA Virginia VT Vermont WA Washington State WI Wisconsin WV West Virginia WY Wyoming
Zip Code:

Please choose a carrier: Choose One SprintPCS (standard) AT&T Wireless (optional) Verizon Wireless (optional)	Please choose motion sensor range: Choose One 80 Feet Narrow Beam 40 Feet Wide beam
cCubed CID-V™ Cellular Intrusion Detection and Surveillance System with Standard Lighting at $2950.00 each		Quantity Zero 1 2 Call for pricing
cCubed CID-V™ Cellular Intrusion Detection and Surveillance System with Infrared Lighting at $3950.00 each		Quantity Zero 1 2 Call for pricing
Shipping
Flat Rate Shipping $70 per camera		___________
Taxes (if applicable)
Tennessee Residents/Businesses......................... (Add 10.25%)		___________
Total Due At Time of Order (This will be calculated after you click Submit)		___________

By placing this order, Buyer agrees to the terms and conditions found at http://www.cCubedSecurity.com/terms.html        

Printable Order Form in Microsoft Word

Printable Order Form in Adobe Acrobat

cCubed Main Page

After you submit your order, someone from our sales team will contact you.

For Credit Card Orders, please call (866) 380-3323

Contact us for details and pricing.

cCubed Security Company
P.O. Box 12823
Knoxville, Tennessee 37912-0823
Contact Us
Toll free (866) 380-3323

 

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