Online Order Form

Please complete this form, then click the submit button at the bottom of the page. Tri C will contact you by telephone to complete your order.

Your Name or Department Name:
Department Mailing Address
Department Phone Number:	Best Time to Call
Department Fax Number:	(optional)
Which version of Windows do you use?
Are you on a Network?	Yes No
What Model of Printer Will You Use to Print Your Bills ?
Department's Email Address
Approximately How Many Meters Do You Bill for Each Month ?
Ship to address if other than mailing address.
Contact person name, address, phone number.
Comments or additional remarks.
or

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