Title

Title

TeamSoftware Solutions Inc.
2017 24th St S.E.
Rochester MN, 55904
Fax Number: 507-289-2769
Michelle@TeamSoftwareSolutions.com

Public Web Browser version 2 order form (PWB v2)
Please fill out as completely as possible and Mail, Email, or Fax, to TeamSoftware Solutions. Your license number will be sent via Email on your paid invoice. A tax-exempt number is required for tax-exempt purchases. Expiration dates are based on date payment received by TeamSoftware Solutions. Please contact us with license and usage questions.

Company/Entity Name:

Contact Name:

Address 1:

Address 2:

City:

County:

State:

Zip code:

Telephone Number:

Contact Email address:

Purchase Order Number:

Credit Card Information if paying by credit card
Card Holder Name
Card Number
Visa/MC
Expires

Credit Verification Value
3 digit number on back of card
CVV2=

Credit Card information is most secure sent via Fax, Mail, or through our secure Online Store.

Type:
Unit Price:
Quantity:
Total:
Site License
$125.00

Multiyear Site License
$125.00\Year

Seat License
$40.00

Terminal Server Site (Farm)
$300.00\Server

Enterprise License
$10000.00

Minnesota Tax

Total

All funds are in U.S. Dollars. Reseller discounts are applied on invoice.

Please see license agreement for details
Thank you for registering Public Web Browser (PWB), we hope the software meets and exceeds your requirements. PWB has been developed from comments and questions from libraries and institutions from around the world. Please send us your suggestions and needs for further development of PWB to meet your expectations.

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