Order Form Business Legal Name dba Owner's Name * First Name Last Name Business Phone * (###) ### #### Owner's Email Address * for document signing purposes Business Address * Street Address, City, State & Zip Code Referred By (Sales Representative) All Inclusive Kiosk POS System - (Minimum Qty - 2) * $448 per month 2 @ $224 each plus applicable taxes Additional Kiosk POS System $63 per month 1 2 3 Need more than 5 Kiosk POS Systems? Contact CDFS at 202-932-4449 for a custom quote. Thank you for your interest in financing equipment. We will follow up shortly with a Lease Agreement for signature via DocuSign. Please contact us at (202) 932-4449 if you have any questions about financing.