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All requests must contain full address information to receive a quote. We will process your request as soon as possible and contact you with the information.

Name:
Address:
C/S/Z	,
Company name:
Home Phone:
Work Phone:
Fax Phone:
E-mail:
Have you ordered from Chang & Associates before?

Sales Representative:		Account # (if known)
CPU:		BUS:
Hard Drive Model:		Hard Drive Size:
Interface:		Memory:
Video:		Video Ram:
Floppy A:		Floppy B:
CD ROM:		Soundcard:
Tape Backup:		UPS:
Modem:		Brand:
Case:		Monitor:
Keyboard:		Mouse:
Operating Systems:

Novell Netware

Netware Operating Systems:
Number of Workstations desired:

Please enter the quantity of systems you wish to order:

Enter any comments or additions here. If you are ordering the Weekly Special,
please indicate the date of the special in the box.

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