Millennium Computers
Order Form


Customer Information

First Name: Last Name:
Address:
City: State: Zip:
Country:
Phone Number:
Credit Card Number: Expiration Date:


Computer Equipment Information

Processor: 150 MHz
200 MHz
300 MHz
400 MHz
Memory: 16 meg 32 meg 64 meg 128 meg
Drive Size: 5 gigabyte
10 gigabyte
20 gigabyte
Monitor Size: 15-inch 17-inch 19-inch 21-inch