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Lathem Direct Order Form

Simply complete the form below, print and fax or mail:

How

To:

Fax - Please complete the information below, print this page, and fax to Lathem sales at  1-800-252-2208

Mail - Please complete the information below, print this page, and mail to:

Lathem Time Systems

200 Selig Drive SW

Atlanta, GA 30336-2033

 

Company Name
Current Shipping Address
 
City, State ZIP
 
Contact Name / Title
Phone Number
   
Terminal Serial Number SZ
   
Credit Card Type Visa Mastercard Amex Discover
Credit Card Number
Expiration Date
Name On Credit Card

*Credit card will be charged $99.00 plus shipping and sales tax, if applicable.  If you wish to pay by check, please call for the proper dollar amount.  All prices are in US dollars, and do not include shipping or local sales taxes if applicable.  Support agreement prices for the first year of coverage may vary based upon the age of the PC100 terminal at the time coverage begins.