SimpleChurch - Giving Kiosk Purchase Form
TYPE OF KIOSK AND QUANTITY
Floor Stand Kiosk
*
Choose Quantity
1 Floor Stand Kiosk (Add $1,499.00)
2 Floor Stand Kiosks (Add $2,998.00)
3 Floor Stand Kiosks (Add $4,497.00)
4 Floor Stand Kiosks (Add $5,996.00)
5 Floor Stand Kiosks (Add $7,495.00)
6 Floor Stand Kiosks (Add $8,994.00)
7 Floor Stand Kiosks (Add $10,493.00)
8 Floor Stand Kiosks (Add $11,992.00)
9 Floor Stand Kiosks (Add $13,491.00)
10 Floor Stand Kiosks (Add $14,990.00)
11 Floor Stand Kiosks (Add $16,489.00)
12 Floor Stand Kiosks (Add $17,988.00)
13 Floor Stand Kiosks (Add $19,487.00)
14 Floor Stand Kiosks (Add $20,986.00)
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 $1,199.00)
2 Table Mount Kiosks (Add $2,398.00)
3 Table Mount Kiosks (Add $3,597.00)
4 Table Mount Kiosks (Add $4,796.00)
5 Table Mount Kiosks (Add $5,995.00)
6 Table Mount Kiosks (Add $7,194.00)
7 Table Mount Kiosks (Add $8,393.00)
8 Table Mount Kiosks (Add $9,592.00)
9 Table Mount Kiosks (Add $10,791.00)
10 Table Mount Kiosks (Add $11,990.00)
11 Table Mount Kiosks (Add $13,189.00)
12 Table Mount Kiosks (Add $14,388.00)
13 Table Mount Kiosks (Add $15,587.00)
14 Table Mount Kiosks (Add $16,786.00)
Wall Mount Kiosk
*
Choose Quantity
1 Wall Mount Kiosk (Add $1,099.00)
2 Wall Mount Kiosks (Add $2,198.00)
3 Wall Mount Kiosks (Add $3,297.00)
4 Wall Mount Kiosks (Add $4,396.00)
5 Wall Mount Kiosks (Add $5,495.00)
6 Wall Mount Kiosks (Add $6,594.00)
7 Wall Mount Kiosks (Add $7,693.00)
8 Wall Mount Kiosks (Add $8,792.00)
9 Wall Mount Kiosks (Add $9,891.00)
10 Wall Mount Kiosks (Add $10,990.00)
11 Wall Mount Kiosks (Add $12,089.00)
12 Wall Mount Kiosks (Add $13,188.00)
13 Wall Mount Kiosks (Add $14,287.00)
14 Wall Mount Kiosks (Add $15,386.00)
CONTACT INFORMATION
Contact Name
*
Contact Phone Number
*
ACCOUNT INFORMATION
Organization URL/Website
*
Your Email Address
*
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
$
Online Giving
Powered by SimpleChurch Giving