PerBI Order Form

 

 

Ian Smith (PerBI),
62 Bath Road,
Worcester,
Worcestershire
WR5 3EW

 

Purchasing organisation:__________________________________________   Your order ref:___________________

Address:______________________________________________________     Date:_________________________

             _______________________________________________________

            _______________________________________________________

            _______________________________________________________

            _______________________________________________________

Ordering person's name and phone number:_________________________________________

The organisation indicated above requests the purchase of the number of licences indicated below and understands that these licence fees are payable every 3 months.

Quarterly Fee Max concurrent users Number of Licences
£18 1  
£32 2  
£53 5  
£90 10  
£176 25  
£352 50  
£528 100  
£704 150  
  Total Order Value  

 

Ordering person's signature:_________________________________________