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Rent-Ware Windows for US Choice Request
 
Rent-Ware Windows for US Choice Request
* Company 
* Contact, Title 
E-mail Address 
US Choice Account # 
* Phone Number 
Fax Phone Number 
* Address 
* City 
* State / Zip 
* US Choice Sales Rep 
* Current Fleet Size 
* Number  of locations    
* Number of Work Stations (PC’s) that will be connecting 
to Rent-Ware Windows Web   
 
ALL TRANSACTIONS ARE 100% SECURE
 Type: 
 Name on Card: 
 Number: 
 Expiration Date: 
 Billing Adress: 
  City: 
 State: 
 Zip Code: 
 Security code: 
 
Do you want the Credit Card Processing interface 
through Card Services International that includes 
one free credit card reader that mounts on the keyboard?  
Person for CSI to contact
Operation System
Need a copy ?
 
 

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