Please fill out this form and fax it to: (214) 576-7771
Attn: Colleen
| Name: | ||
| Address: | City / State: | Zip Code: |
| Credit Card Number: | Name on Card: | Expiration Date: |
| Billing Address: | Billing City / State: | Billing Zip Code: |
| Item Description: | Cost: | Part Number: |
Polycom PVX v8.0 PC Conferencing Application for a single user |
$149.00 | 5151-22710-001 |
Note: Tax and Freight charges will be added to card when it is invoiced.
Texas Tech University