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To place an order please fill in the form below and click on Submit at the bottom of the page. Be sure to fill in all * required fields and provide necessary details using the various buttons and checkboxes. If you prefer you can download the Order Form  and mail or fax it to MoneyTree Cash Systems. Same as Bill To * Name * Name * Address * Address * City * City * Province/State Choose One Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Province/State Choose One Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Québec Saskatchewan Yukon Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming * Postal/Zip Code * Postal/Zip Code * Phone * Phone * E-mail * E-mail PO# Enclosure Model 3700 Series 2000 Series 1600 Series 1500 Series 1000 Series Free-standing Type Walk-up   Drive-up Quantity Curb Height Power Ingress – Specify location through floor for precutting of the 1/4” floor plate Enclosure Colour (Primary) – Specify PMS Colour (will match as closely as possible) (Secondary Stripe) – Specify PMS Colour (will match as closely as possible) Standard ATM decals ATM (3 sides, 12”x 24”) Yes   No Enclosure Options Air Conditioner/Dehumidifier Heater Video Security System Digital Advertising Screen Bollard Post(s) x  Concrete Pad Smoke Screen Manufacturer Model Supplied by Installed by MoneyTree? Yes   No Palletize & Wrap for Shipping (+ $175) Yes   No Arranged by MoneyTree*   Purchaser       Allow 4-6 weeks for delivery * MoneyTree assumes no liability for shipping damage incurred in transit. All freight claims must be handled directly with the carrier (ABF). Additional coverage can be arranged if requested. Additional Instructions

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