To order a NetDay kit or a NetDay toolkit, print this form and fill
out the requested information, and fax or mail the form to the
appropriate kit provider.
Remember, providers
cannot deliver kits to a school until they receive payment or a
purchase order.
NetDay
Wiring Kit Order
_____ |
kits @ $_____ |
$______________ |
_____ |
plenum kits @ $_____ |
$______________ |
_____ |
toolkits @ $_____ |
$______________ |
TOTAL |
$______________ |
Sponsor
Information
___ sponsoring
as an individual |
___ sponsoring
on behalf of an organization or company |
Company
name |
|
Company
contact |
|
Title |
|
E-mail |
|
Address |
|
City,
state, zip |
|
Day
phone |
|
Type
of Payment |
|
School
Information
School
name |
|
E-mail |
|
Address |
|
City,
state, zip |
|
Phone |
|
Purchase
Order # |
|
NetDay
School Organizer Information
Name |
|
Employer |
|
E-mail |
|
Address |
|
City,
state, zip |
|
Daytime
phone |
|
|