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:
Visa
MasterCard
American Express
Discover
Card Number:
(numbers only, no spaces)
CVV2 Code:
Month/Year:
01
02
03
04
05
06
07
08
09
10
11
12
2008
2009
2010
2011
2012
2013
2014
2015
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