Agent Order Form CDS Agent Order Form Place your order for the CDS Inventory Management solution below: * Select Order Type NewReorder Place your order for the CDS Inventory Management Solution below: * Select Order Type NewReorder * CDS Representative Select OneDavid HoganBarton HarrisMark BehnkeDavid RichardsonChris Torres COMPANY INFORMATION * Company Name: * Point of Contact * Phone Number * Email Address BILLING INFORMATION * Address * City Select StateALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY * Zip GPS DEVICE INFORMATION *Domestic 4G Kit: Quantity Unit Price Airtime Plan Select OneProduct A / Sell Through ModelProduct B / Addendum Model * European 4G Kit: Quantity Unit Price Airtime Plan Select OneProduct A / Sell Through ModelProduct B / Addendum Model * Mercedes 4G Kit: Quantity Unit Price Airtime Plan Select OneProduct A / Sell Through ModelProduct B / Addendum Model Estimated GPS Device Information: = $ ACCESSORIES (Optional: If you want to order additional harnesses, please place your order below) Domestic Harness: Quantity Price $ Estimated Cost: European Harness : Quantity Price $ Estimated Cost: Mercedes Harness: Quantity Price $ Estimated Cost: Estimated Accessories Cost: = $ SHIPPING INFORMATION Check here is same as billing address. * Recepient: * Address * City Select StateALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY * Zip * Select Shipping Method Select Shipping Method Ground ($2/device) Express 3rd Day Delivery ($3/device) Two Day Delivery ($4/device) Overnight Delivery ($5/device) Priority Overnight ($7/device) Saturday Delivery ($7/device + $25 Saturday fee) TOTAL ESTIMATED COSTS: = $ ORDER INFORMATION * Select Payment Type Credit CardACH *Select Terms Net 15 DaysNet 30 Days SPECIAL INSTRUCTIONS Total Estimated Cost (excluding shipping): = $ Place your order for GPS devices below: * Select Order Type NewReorder * CDS Representative Select OneDavid HoganBarton HarrisMark BehnkeDavid RichardsonChris Torres * Company Name * Same Quantity? YesNo, enter new quantity GPS DEVICE INFORMATION *Domestic 4G Kit: Quantity Unit Price Airtime Plan Select OneProduct A / Sell Through ModelProduct B / Addendum Model * European 4G Kit: Quantity Unit Price Airtime Plan Select OneProduct A / Sell Through ModelProduct B / Addendum Model * Mercedes 4G Kit: Quantity Unit Price Airtime Plan Select OneProduct A / Sell Through ModelProduct B / Addendum Model Estimated GPS Device Information: = $ ACCESSORIES (Optional) Domestic Harness: Quantity Price Eastimated Cost: European Harness : Quantity Price Eastimated Cost: Mercedes Harness: Quantity Price Eastimated Cost: Estimated Accessories Cost: = $ SPECIAL INSTRUCTIONS