Customer Information
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| Name
(required): |
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| Company Name (required): |
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Address (required): |
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Address Continued: |
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| City
(required): |
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| State/Province: |
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| Zip Code/Postal Code: |
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| Country
(required): |
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E-mail (required): |
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Phone (required): |
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| Fax: |
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Shipping
Address (If different from Above)
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| Name: |
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Company Name: |
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Address: |
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| Address Continued: |
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| City: |
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State/Province: |
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| Zip
Code/Postal Code: |
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Country: |
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E-mail: |
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Phone: |
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| Fax: |
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Billing Address (Must match credit card) All Fields Required, except
"State/Province", if using credit card
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Name: |
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Address: |
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| City: |
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State/Province: |
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| Zip
Code/Postal Code: |
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Country: |
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Phone: |
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E-mail: |
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Comments |
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| Pricing and Quantity |
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| Customer Code (If applicable) |
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| PlzMayI Virtual Machine Appliance ($99) |
Qty |
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PlzMayIPlzMayI Starter Bundle ($1,599)
(One
VM appliance, one PlzMayI security management module, 100 clients.
1 year Maintenance included)
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Starter bundle for existing PlzMayI customers
($999)
(One PlzMayI
security management module, 100 clients. 1 year Maintenance included
)
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Annual
Software Update and Support
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PlzMayI: 1st yr ($99) : 2nd
yr ($159) : 3rd yr ($259)
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| Shipping and Handling - (download) |
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| Applicable
Taxes |
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Local Sales Tax (if applicable) |
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PlzMayI |
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| Payment
Method |
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Purchase Using (Visa, Mastercard, Discover, Amex &
P.O.s Accepted) |
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Purchase Order No. (If applicable): |
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| I affirm I have
read & agree to terms of the agreement |
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