Millennium Computers

Order Form

Personal Information

First Name
Last Name
Street 1
Street 2
City
State
Zip
Phone (numbers only, no spaces or dashes)
Billing Address same as Shipping

Computer Specifications

Processor Speed 2.5 GHz 3.3 GHz 4.0 GHz 5.5 GHz	Memory 128 MB 256 MB 512 MB 1024 MB	Drive Size 60 GB 80 GB 120 GB	Monitor Size 15-inch 17-inch 19-inch 21-inch	CD-ROM 24x 32x 48x 64x 72x
DVD player Yes No	CD burner Yes No	DVD burner Yes No	LAN card Yes No	Internal 56K modem Yes No

Payment

Card Type:
Card Number: (numbers only, no spaces)
CVV2 Code:
Month/Year:

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