Millenium Computers
Online Order Form
Contact Information
First Name
Last Name
Phone Number
Computer
Processor
Select (check one)
2.5Ghz
3.3Ghz
4.0Ghz
5.5Ghz
Memory
Select (check one)
2.5Ghz
3.3Ghz
4.0Ghz
5.5Ghz
Monitor Size
Select (check one)
15 inch
17 inch
19 inch
21 inch
CD ROM
Select (check one)
24x
32x
48x
64x
72x
Peripherals
Mailing List
DVD Player
Yes
No
Click box to be added to our mailing list
CD Burner
Yes
No
DVD Burner
Yes
no
LAN card
Yes
No
Internal 56K modem
Yes
No
Payment
Credit Card Number
Expiration Date
01
02
03
04
05
06
07
08
09
10
11
12
/
2006
2007
2008
2009
2010
2011
2012
