Office 365 Order

By filling out and submitting this order form you agree to the Terms and Conditions. Contact our Sales Department if you need live assistance with placing your order.

Contact Information

First Name

Last Name

Company/Organization

Email Address

Phone Number

Millennium Systems has my contact information on file

Contact Address

City

State / Province

Zip / Postal Code

Country

Hosting Package

Domain Name

Exchange User Info

Billing Information

Billing Method

Billing Cycle

My billing information is the same as my contact information

Billing Address

City

State / Province

Zip / Postal Code

Country

Credit Card Information

Credit Card

Credit Card Number

Expiration Date

Name On Credit Card

CVV2 / AMEX Code

Additional Information

How Did You Find Us

Referred By

Comments & Notes

By checking this box you agree to our Terms of Service.

Office 365 Order

Secure Order Form

Office 365 Order

Contact Information

Hosting Package

Billing Information

Credit Card Information

Additional Information