ParishSOFT Giving Kiosk Purchase Form
TYPE OF KIOSK AND QUANTITY
Floor Stand Kiosk
*
Choose Quantity
1 Floor Stand Kiosk (Add $1,699.00)
2 Floor Stand Kiosks (Add $3,398.00)
3 Floor Stand Kiosks (Add $5,097.00)
4 Floor Stand Kiosks (Add $6,796.00)
5 Floor Stand Kiosks (Add $8,495.00)
6 Floor Stand Kiosks (Add $10,194.00)
7 Floor Stand Kiosks (Add $11,893.00)
8 Floor Stand Kiosks (Add $13,592.00)
9 Floor Stand Kiosks (Add $15,291.00)
10 Floor Stand Kiosks (Add $16,990.00)
11 Floor Stand Kiosks (Add $18,689.00)
12 Floor Stand Kiosks (Add $20,388.00)
13 Floor Stand Kiosks (Add $22,087.00)
14 Floor Stand Kiosks (Add $23,786.00)
1 Card Reader Only (Add $80.00)
2 Card Readers Only (Add $160.00)
3 Card Readers Only (Add $240.00)
4 Card Readers Only (Add $320.00)
Table Mount Kiosk
*
Choose Quantity
1 Table Mount Kiosk (Add $1,399.00)
2 Table Mount Kiosks (Add $2,798.00)
3 Table Mount Kiosks (Add $4,197.00)
4 Table Mount Kiosks (Add $5,596.00)
5 Table Mount Kiosks (Add $6,995.00)
6 Table Mount Kiosks (Add $8,394.00)
7 Table Mount Kiosks (Add $9,793.00)
8 Table Mount Kiosks (Add $11,192.00)
9 Table Mount Kiosks (Add $12,591.00)
10 Table Mount Kiosks (Add $13,990.00)
11 Table Mount Kiosks (Add $15,389.00)
12 Table Mount Kiosks (Add $16,788.00)
13 Table Mount Kiosks (Add $18,187.00)
14 Table Mount Kiosks (Add $19,586.00)
Wall Mount Kiosk
*
Choose Quantity
1 Wall Mount Kiosk (Add $1,299.00)
2 Wall Mount Kiosks (Add $2,598.00)
3 Wall Mount Kiosks (Add $3,897.00)
4 Wall Mount Kiosks (Add $5,196.00)
5 Wall Mount Kiosks (Add $6,495.00)
6 Wall Mount Kiosks (Add $7,794.00)
7 Wall Mount Kiosks (Add $9,093.00)
8 Wall Mount Kiosks (Add $10,392.00)
9 Wall Mount Kiosks (Add $11,691.00)
10 Wall Mount Kiosks (Add $12,990.00)
11 Wall Mount Kiosks (Add $14,289.00)
12 Wall Mount Kiosks (Add $15,588.00)
13 Wall Mount Kiosks (Add $16,887.00)
14 Wall Mount Kiosks (Add $18,186.00)
Your Email Address
*
CONTACT INFORMATION
Contact Name
*
Contact Phone Number
*
ACCOUNT INFORMATION
Organization URL/Website
*
SHIPPING WILL BE BILLED SEPARATE FROM THIS TRANSACTION
There is a monthly maintenance fee of $19/month per kiosk.
SHIPPING INFORMATION
Shipping Address Line 1
*
Shipping Address Line 2
Shipping City
*
Shipping State
*
Shipping Zip
*
Additional Comments
Total
$
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