Products > Company Store > OpenInsight for U2 Order Form

OpenInsight for U2 Order Form
THREE EASY WAYS TO PLACE YOUR ORDER TODAY:

• Phone: Call toll-free (800) 262-4747. Or call (201) 594-1422. Please have your credit card information ready.
• Fax: 24 hours a day (201) 722-9815. Be sure to include credit card information.
• Mail: Include check, money order, or credit card information. Send to: Revelation Software; 99 Kinderkamack Road; First Floor; Westwood, NJ 07675

YOUR INFORMATION

Name	_______________________________________________________________________
Company	_______________________________________________________________________
Address	_______________________________________________________________________
	_______________________________________________________________________
City,State,Zip	_______________________________________________________________________
Phone #	_______________________________________________________________________
Fax #	_______________________________________________________________________
Email	_______________________________________________________________________

YOUR ORDER

Item	Quantity	List* Price	Total
Subscription
OI for U2 - (OI only) - Desktop Edition - 1 user [9.3]%	________	$50.00	$________
OI for U2 - (OI only) - Server Edition - 1 user [9.3]%	________	$60.00	$________
OI for U2 - (OI only) - Enterprise "A" - 75+ users [9.3]%	________	$30.00	$________
OI for U2 - (OI only) - Enterprise "B" - 150+ users [9.3]%	________	$15.00	$________
Annual License Renewal
OI for U2 - (OI only) - ALR - Desktop Edition [9.3]	________	$10.00	$________
OI for U2 - (OI only) - ALR - Server Edition [9.3]	________	$12.00	$________
OI for U2 - (OI only) - ALR - Enterprise "A" [9.3]	________	$6.00	$________
OI for U2 - (OI only) - ALR - Enterprise "B" [9.3]	________	$3.00	$________
Sub-Total			$________
Applicable Sales Tax (NJ)			$________
Shipping & Handling (prices for Continental U.S. only)			$________
Applicable Shipping Tax (MN)			$________
TOTAL			$________

Prices applicable only to North America

PAYMENT INFORMATION
Payment Method: ___ Check or Money Order ___ Visa ___ Master Card ___American Express

For Credit Card Orders
Credit card number	_______________________________________________________
Expiration date	_______________________________________________________
Print name as it appears on card	_______________________________________________________
Authorized signature	_______________________________________________________

*Please call our Customer Care Department at (800) 262-4747 for monthly pricing specials. Prices subject to change without notice.
%Universal Driver 4.7 (NUL) included. All platforms, any number of installed processors.