Virtucom
  • 5060 Avalon Ridge Pkwy
    Suite 300
  • Norcross, GA 30071
  • Contact: EJ Owens
  • 800-890-2611 x309
  • 770-908-8007 Fax
  • ejowens@virtucom.com
Dekalb County School District 

Digital Dreamers Technology Replacement
Order Form

STEP 1 - Personal Information

Customer's Name:  
Email Address:  
Billing Phone Number:  
Billing Address:  
City, State  
Zip Code  
School Name:  
Student/Teacher Name:  
Student/Teacher ID:  
Shipping Address:  
 

STEP 2 - Order Information

  Student Accessories:

  Teacher Accessories:

SubTotal Amount: $0.00

Total Amount: $0.00

STEP 3 - Payment Method (Please pay by either check or credit card)

** Payment must be received by Virtucom to guanrantee delivery on time.
Pay by Check. (Please make check payable to Virtucom)
Check or Money Order: #  
Amount: $0.00
Pay by Credit Card.
Credit Card:
Credit Card #  
Exp. Date  
Cardholder name  
Security Code  
Amount: $0.00

Notes

  • If you choose to pay by check, you may still submit your order online and mail your check to Virtucom, 5060 Avalon Ridge Pkwy, Suite 300, Peachtree Corners, GA 30071.
  • Please be sure name, address, and phone # match billing information on your credit card.
  • All orders will be shipped to the school address.
  • All technical support requests for the replacement unit are to be submitted to DCSD via the same approved method by DCSD. 
  • Delivery of equipment can be expected to the school within 7-10 business days.
  • You will receive a confirmation email after you submit your order.

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