Church Point-of-Sale System Purchase Request Form

Church or Organization Name

Primary Contact Full Name

First NameLast Name

Contact Email Address

example@example.com

Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Church or Organization Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Standard POS Terminal

All-in-one touchscreen POS terminal.

$799.00Quantity

Mobile POS Device

Handheld POS for mobile transactions.

$399.00Quantity

Receipt Printer

Thermal receipt printer compatible with POS terminals.

$149.00Quantity

Cash Drawer

Secure cash drawer for POS setup.

$99.00Quantity

Barcode Scanner

USB barcode scanner for product entry.

$59.00Quantity

Total

Deployment Needs

Estimated Budget (USD)

Preferred Deployment Timing

If you selected 'Specific date', please specify

Date

Additional Notes or Special Requests