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    Supply Order Request Form

    Company, Billing and Shipping Information

    Please fill out the following contact, billing and shipping information. * denotes a required field.

    Your Items

    Choose the items that you would like to order and enter the quantity of that part in the quantity fields below

     
    Part Number Description Quantity Cost
    Accessories
    ACC-FP2504-SA Stylus for iSC250/iSC480  
    Right Angle Stylus for iSC250/iSC480     		# $
    Add Ons
    JRS-ART02142-INV 16 x 16 Cash Drawer # $
    M2354-0001 Cash Drawer 16" w/ Cable & Insert - PAR/APG  
    PAR APG Cash Drawer 16" with Cable and Insert     		# $
    F1501 Cash Drawer Lock & Key Assembly - PAR M2352A  
    Par M2352A Cash Drawer Lock & Key Assembly     		# $
    JRS-3S430TILL-INV Cash Drawer Till insert - J2  
    Till insert for J2 cash drawer     		# $
    K2331 Cash Drawer Till Insert - PAR M2352A  
    Till Insert for Par Cash Drawer M2352A-0001     		# $
    K8570 Cash Drawer Till Insert - PAR M8570  
    Par Till Insert for M8570 Cash Drawer     		# $
    RG-PAY-HW-ING-SEN351014-INV Device Stand for Ingenico iPP3xx with 0-90° tilt with plate & cradle # $
    ACC-FP1015 Device Stand for Ingenico iPP3xx with 65° tilt with plate & cradle # $
    ING-BOX350769-INV Glue Pad for Stands  
    Glue Pad for Stands - To adhere stands to surface without screws.     		# $
    ART-03568-INV Aures Standalone Display # $
    LOG-LDX9000UP-GY-INV Logic Controls LDX9000  
    Single -Sided Customer Pole Display, Powered USB     		# $
    ACC-BUY8003 Lane3000 Mounting Bracket # $
    C6215 PAR 600 Cash Drawer dual adapter cable # $
    ACC-ING8004-INV Lane Stand - OEM Payment Stand w/Glue Pad # $
    Cables
    03019 - INV Cable: 6' DB25M to DB9F Null Modem Cable, Beige  
    6' DB25M to DB9F Null Modem Cable, Beige     		# $
    15196-INV Cable: 7ft SE 350 MHz Snagless patch cable - black  
    7ft SE 350 MHz Snagless patch cable - black     		# $
    64066733 Cable: Ariva Scale Power Supply  
    KOP Power Supply w/ Adaptors for ARIVA scale     		# $
    PWR-WUA5V4W0US Cable: DS9208 Scanner Power Supply  
    DS9208 Power Supply AC Input: 100-240V, DC Output: 5.2V - Includes line cord     		# $
    CEPS-003 Cable: Epson 6ft DB9F/DB25M Cable  
    Epson 6ft DB9 Female DB25 Male Cable     		# $
    EPS-PS180-INV Cable: Epson Power Cable  
    Epson 110/220 Volt AC Power Supply With AC Cord     		# $
    ACC-FP2502-SA Cable: Ingenico iSC250/iSC480 Interface Cable - USB  
    Ingenico iSC250/iSC480 Device Interface Cable - USB. Not powered. A separate power supply is required.     		# $
    ARTUS-00044-INV Cable: J2 Adapter RJ45M/DB9M  
    Pole Display Cable Adapter (RJ45 to DB9 male)     		# $
    ARTUS-00046-INV Aures Splitter Cable for Cash Drawers, 240 # $
    C2350A Cash Drawer Cable PAR for Std w/Media Slot M2352A-0001 & Compact M2355-0001 # $
    ACC-FP2501-SA Cable: Power Supply for the iSC250  
    Power Supply for the iSC250 Used with Agilysys Pay     		# $
    15199 Cable: Printer & Terminal Patch Cable  
    Cables To Go 10ft CAT 5E 350MHz Snagless Patch Cable, Grey     		# $
    CTG-7082609-INV Cable: Serial Cable for Ariva-S Scale  
    Custom Serial Cable for Mettler Toledo Ariva-S scale     		# $
    28102 - INV Cable: USB Cable 2M/6.5ft, Black  
    USB Cable 2M/6.5ft, Black     		# $
    ACC-FP1000-SA Cable: USB Powered 5V Cable for iPP320/iPP350  
    USB powered 5V cable for the iPP320 & iPP350     		# $
    F2350 Power Cord for PAR Docking Station K8983A-01 # $
    PAY-CBL-296111170AD Cable: Lane3000/7000/8000 Cable # $
    ACC-FP3010 Cable: USB Powered Cable for Lane3000 # $
    Misc
    0400210 Card Reader Cleaning Card  
    MSR Card Reader Cleaning Card, Qty 1     		# $
    9001369 Magnetic Stripe Cards (Non-Customized) 100 Pack  
    		# $
    ACC-FP7001 Stylus: Lane7000/8000  
    		 # $
    ACC-FP5003 Stylus: Lane5000  
    		 # $
    K6341A-INV EverServ 600 MSR # $
    Paper
    10R3269 Paper: Cash Register/Adding Machine Rolls - Bond 3" x 165' - 1 Ply  
    		 # $
    SPE-4012 Paper: Epson 3"x 3"x 67', 3 Ply  
    Epson 3" 3 Ply Printer Paper 50 Rolls Per Case     		# $
    7379 Paper: Receipt Printer Paper 3"x90', White/Canary  
    3" x 90' 7/16 2 Ply CB/CF (White/Canary) Case of 50     		# $
    10011043 Paper: Receipt Printer Paper, Thermal, 2" x 55'  
    Zebra Z-Select 4000D 3.2 mil Receipt Paper - Bright White - 36 Rolls (2 in x 55 ft)     		# $
    SPE-1213-INV Paper: Receipt Printer Paper, Thermal, 3 1/8" x 220', 1 Ply, 50 Rolls Per Case  
    		# $
    120615 2.25X85 Thermal Paper , 50 Rolls per Case # $
    ACC-ING8003 Paper: Thermal Receipt Paper, 2 ¼” X 50’  
    		 # $
    6DT315S Labels: White Cub Label (Re-Stick)  
    		 # $
    Power
    BK350-INV BK350 APC Back-UPS  
    APC Back-UPS CS 350 - UPS - AC 120 V - 210 Watt - 350 VA - 6 output connector(s)     		# $
    BTRY-ET5X-10IN1-02 Series 3 Tablet Battery 10.1" Spare battery # $
    PAY-ACC-296196003 Power Supply: Lane3000 # $
    PAY-CBL-188413214 Power Cord: Lane7000/8000 # $
    PAY-ACC-296198809 Power Supply: Lane7000/8000 Series 3 Tablet Battery 10.1" Spare battery  
    Power Supply for Lane7000/8000     		# $
    Ribbon
    4017502 Printer Ribbon: Black  
    Ribbon TM-200/300 Black, 6 Per Pack     		# $
    4017521 Printer Ribbon: Red/Black  
    Nylon Printer Ribbon Cartridge - Red/Black - 6 Per Pack     		# $
    Uncategorized
    ACC-CTG8000 C2G 7-Port USB 2.0 Aluminum Hub  
    C2G 7-Port Powered USB Hub for POS terminals rovides additional USB ports for peripherals     		# $
    Printer Rolls
    9023-1873 Printer Rolls, 40MM x 270' Iconex Sticky Media Full Tack, 12/CTN, for TM-L90II Printer  
    Printer Rolls, 40MM x 270' Iconex Sticky Media Full Tack, 12/CTN, for TM-L90II Printer     		# $
    9023-2240 Printer Rolls, 80MM x 270' Iconex Sticky Media Full Tack, 12/CTN, for TM-L90II Printer  
    Printer Rolls, 80MM x 270' Iconex Sticky Media Full Tack, 12/CTN, for TM-L90II Printer     		# $
    9023-2244 Printer Rolls, 80MM x 375' Iconex Sticky Media Ultralite, 30/PK, for TM-L90II Printer  
    Printer Rolls, 80MM x 375' Iconex Sticky Media Ultralite, 30/PK, for TM-L90II Printer     		# $

    Supply Order Request Form

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