2004 CFNnet PRODUCT ORDER FORM

In order to expedite your CFNnet order, please complete and return this form with your Site Registration to Site Transition Coordinator as soon as possible.

CFNnet Go Live Package 500.00
Total Due $500.00

 

PLEASE NOTE:

When submitting your Site Registration for a CFNnet site, a deposit in the amount of $500.00 must accompany your Site Registration, otherwise site registration will not be processed. If site is not approved, your deposit will be returned to you. Once your site is approved by CFN you will need to order your Trans 380, Ruby or G-Site equipment from CFN. An invoice from CFN for the CFNnet go live package and equipment will follow. You will need to contact your authorized vendor for your Marconi G-Site Key Disk or Ruby Verifone Ruby Card. Please have your application software version available.

For Verifone or G-Site Equipment please fill out the attached form and fax the form to CFN at (650) 356-3050.

Please fill out the information below for prompt delivery of your CFNnet signage.

PART. NAME________________PART. NO._____________

TELEPHONE NUMBER____________________ACCT. NO.___________

SHIPPING ADDRESS____________SITE NO.______________

CITY/STATE/ZIP__________________

PRINT NAME_____________________

SIGNATURE_____________________

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