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 Lemoyne College Order Form

 

Internet ordering for Lemoyne is closed.  We will bring extras so you can still get a unit!  We can only accept cash and checks at the truck - sorry, no credit cards!

Thanks!

Lemoyne College - 

Thursday, August 28

4:00PM - 5:00PM: Dablon Hall area

5:15PM - 5:45PM: St. Mary's & Harrison

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE DO NOT USE THIS ORDER 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.

Please begin at Question 9.  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.  FIRST DELIVERY DATE:

More delivery dates will be posted after this date

2.  SCHOOL:


3.  COUNTY:


4.  SCHOOL CITY:


5.  SCHOOL STATE:


6.  SCHOOL ZIP:


7.  ORDER METHOD:


8.  TYPE:


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

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

10.  ON CAMPUS RENTAL:


If you do not have the information for questions 11-15, don't worry.  You can email it to us as soon as you have it!   Email address: refrigeratorleasingcompany@yahoo.com

11.  HALL:

If your hall is not listed, please add it to the notes line at the end of the 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: 5555 5555 5555 5555 (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.  STUDENT 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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