State/Prov.: select 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 --------------------select--------------------- Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other

Postal code/Zip:

Country: Select Canada United States Other Australia Aruba Belgium Brazil Cyprus Germany Spain France United Kingdom Hong Kong Japan South Korea Netherlands Norway New Zealand Singapore Venezuela

Phone:

Fax:

Preferred Method of Payment:

select (optional) Purchase Order (OAC) Visa Mastercard American Express Discover Discover Wire Transfer Money Order Company Check Certified Check

Type: (1 or 2 or 3)

A :

A1:

A2:

B :

C :

D1:

D2:

D3:

E :

F1:

(F1 should =F2 +A1 + A2)

F2:

G :

H : *

*required for type 1,2, or 3

I :

J1:

J2

K :

L:

M:

N:

O:

If Power cord and parallell cable

is permanently attached to the

Monitor enter the height from the

bottom of the base to where the cables

enter the Monitor

Here: