Internet ordering for this college is closed.  Call Office for orders at 607-431-9525.  Thank You!

 

Come out to the truck parked on campus  with check or cash..   See delivery schedule. We will have extras on hand. 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do not use form below.  We will not get your order.

 

 

Welcome to the University at Albany Purchase Form

Internet ordering for Albany is closed.  You can still get a unit!  We will be at State and Indian Quads on Friday, August 22 from 11am to 4pm.  We will be at the corner of the Quad and we will have extras!  We can only accept cash and checks at the truck - sorry, no credit cards!

Thanks!

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INTERNET ORDERING IS CLOSED FOR ALBANY

DO NOT USE THIS FORM -

YOUR ORDER WILL NOT BE PROCESSED!

 

This page is for PURCHASING only, if you would like to RENT a MicroFridge,

Refrigerator, or Safe, please return to the Home Page and choose the RENT link.

PLEASE PRESS CAPS LOCK KEY NOW.

Use your mouse or the TAB key to navigate through the form. 

DO NOT PRESS ENTER UNTIL YOU HAVE COMPLETED ALL FIELDS AND ARE READY TO SUBMIT THE FORM.  If you press enter by mistake, use the "back" button, and continue from last completed field.

1.  PLEASE CHOOSE THE DELIVERY DATE THAT COINCIDES WITH YOUR ARRIVAL ON CAMPUS:

Check delivery information

2.  SCHOOL:


3.  COUNTY:


4.  SCHOOL CITY:


5.  SCHOOL STATE:


6.  SCHOOL ZIP:

   12222 - University at Albany Zip Code.  12203 - Alumni Quad Zip Code.

7.  ORDER METHOD:


8.  TYPE:


9.  TODAY'S DATE: PLEASE ENSURE YOU HAVE PRESSED THE CAPS LOCK KEY BEFORE CONTINUING

mm-dd-yy (you must use dashes for date to be entered properly)

If you do not have the information for questions 10 -14,don't worry. You can email it to us as soon as you have it!   Email address: refrigeratorleasingcompany@yahoo.com

10.  QUADRANGLE:


11.  HALL:

If your hall is not listed, please add it to the notes line at the end of this form

12.  ROOM:


13. SCHOOL PHONE OR STUDENT CELL PHONE:


14.  COLLEGE EMAIL ADDRESS:


15.  STUDENT'S FIRST NAME:


16.  STUDENT'S LAST NAME:


17.  YOUR FIRST NAME:


18.  RELATIONSHIP TO STUDENT:


19.  HOME ADDRESS:


20.  HOME CITY:


21.  HOME STATE:


22.  HOME ZIP:

23.  HOME PHONE:

24.  PRIMARY EMAIL ADDRESS:


25.  CLASS:


26.  FRIDGE TYPE:


27.  FRIDGE PRICE:

                          PLEASE SELECT THE PROPER PRICE:

                        $469.00 NEW MICROFRIDGE

                        $267.50 USED MICROFRIDGE

                        $658.99 NEW MICROFRIDGE & NEW SAFE

                        $457.49 USED MICROFRIDGE & NEW SAFE

                        $189.99 NEW ELECTRONIC SAFE

                        $110.00 USED COUNTER HIGH

                        $70.00 USED CUBE MODEL

28.  TOTAL PRICE:  In this blank (item 28), insert the same price you selected above for item 27.

               Entering the total price into the box means you authorize this amount to be charged on your credit card.

29.  CREDIT CARD NUMBER WITH SPACES: 

            Visa/Mastercard only

Example: 3333 3333 3333 3333 (You must use spaces between the numbers for credit card to be read properly.  If you do not use spaces, the order will not submit and you will be asked to properly enter the credit card.)

30.  EXPIRATION DATE :

Example: 0409   Please use the proper number for the month, not abbreviations. Please do not separate the month and year with any punctuation or spaces.

31.V-CODE:   (The V-Code is the last 3 digits found on the back of the credit card following the account number)

 

32.  ARRIVAL DATE:

mm-dd-yy (you must use dashes for date to be entered properly)

33.  NON-FRESHMAN:  Did you rent a MicroFridge from us last year?

Please print the Form Confirmation page that appears after you submit the form.  It will be your only copy of this form. If you need to contact us for any reason, please email us at refrigeratorleasingcompany@yahoo.com

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