Order Form Business Name 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 (BlueStar Reseller) pDOOH Bundle Selection * Bundle 1 - Dual Monitor with Standard Ceiling Mount ($266.10) Bundle 2 - Dual Monitor with Floor Stand Mount ($243.80) Bundle 2.AFS - Dual Sided Monitor with Adj. Floor Stand Mount ($298.35) Bundle 3 - Dual Monitor with Ceiling Mount ($269.65) Bundle 4 - Dual Monitor with Movable Mount ($346.75) Bundle 4.AFS- Dual Monitor with Adj. Floor Stand Mount and Movable Base ($258.30) Bundle 5 - Single Sided Monitor with Standard Ceiling Mount ($198.50) pDOOH Bundle Quantity * 1 Bundle 2 Bundles 3 Bundles 4 Bundles pDOOH Bundle Accessory: Modem Modem - $25 Modem - Quantity 0 1 2 3 4 pDOOH Bundle Accessory: Access Point Access Point $27.65 Access Point - Quantity 0 1 2 3 4 Thank you your interest in financing a BlueStar pDOOH Bundle. We will follow up with an Agreement for signature.
