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Server-side 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 a server-side publishing 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 computer name(s) of the server(s) to which ScriptX advanced printing will be bound. Enter the exact short Computer Name from Network Identification.
Your annual license fee of $750 entitles you to list up to 10 computer names.
 
Name #1:
Name #2:
Name #3:
Name #4:
Name #5:
Name #6:
Name #7:
Name #8:
Name #9:
Name #10:
MaxiPT Feature Set #1
PLUS $500 pa:
MaxiPT Feature Set #2
PLUS $500 pa: