Supply Order Request Site Name Specify Location. I.E. CAH, Plaza, Cali Dreaming. Who Is Placing Order If for new installs put tech name. If for existing sites, not necessary for new install orders. Call Back Number For existing sites only. (###) ### #### Software Only needed for manager card orders. What is needed I.E. Ribbons, Papers, Manager Cards (by sets of 10) Shipping Address Payment Arrangement If customer is listed as only ACH or CCOF, Must process the payment on file for the order. If the customer is listed as charge, must receive payment for the order. If the customer is listed as none, pass to Loren to confirm the order. Due Date For existing customers confirm regular shipping. For new sites, confirm the install date. MM DD YYYY Thank you!