SET Program
Order Form
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Program Selection
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( X )
SET Program Bronze- 1 visit/year. $150 per computer/visit. |
$
150.00
Number of Computers
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SET Program Silver - 2 visits/year. $145 per computer/visit. |
$
290.00
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SET Program Gold - 3 visits/year. $140 per computer/visit. |
$
420.00
Number of Computers
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SET Program Platinum - 4 visits/year. $135 per computer/visit. |
$
540.00
Number of Computers
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Total
$
0.00
Credit Card
Submit
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