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Application license order form

Please complete this form and send it by clicking the Submit button. You can also print and retain a copy of this order for your own reference.

Purchase Order to Mead & Co Limited
Please supply an application license for ScriptX advanced printing to the following organisation:
 
First Name:
Last Name:
Job Title:
P.O. number (if applicable):
Company:
Company URL:
Address1:
Address2:
Address2:
City:
State:
Zip or Postal Code:
Country
Telephone:
Fax:
Email:

Please enter the *exact* "Company" and "Product Name" strings from your app's versioninfo, together with your versioninfo's "LegalCopyright" string.
Your annual license fee of $1500 entitles you to incorporate licensed ScriptX functionality into a single Windows (VB, VB.NET/C#, etc) executable.
 
Company:
LegalCopyright (must include 'Company' string):
Product Name:
MaxiPT Feature Set #1
PLUS $500 pa:
MaxiPT Feature Set #2
PLUS $500 pa: