Date of request:

     Enter your full name:

Enter your E-mail address:

Enter your position/title:

  Enter your Company name:

  Software is licensed to:

   Mailing address line 1:

   Mailing address line 2:

          Enter your City:

                    State:
                      Zip:

       Country if not USA:

     Phone with area code:

       My company is a(n):End user
                          Reseller/dealer
                          Developer/dealer


           My company has  12 3 or more locations.


My company is currently using Advanced Accounting 5.1.  Our system: 

                           has NOT been modified.

                           has been modified.  Further details are contained in the comments box below.


What would you like to sign up for? (choose one - source subscription includes one RUN):

                          
Runtime subscription only ($175, $75-renewal/new user)
Runtime subscription and support for non-modified system via E-mail ($325 or $35/mo)
Runtime subscription and support for non-modified system via diskette ($375 or $35/mo)
Runtime subscription and support for modified system via E-mail ($490 or $45/mo)
Runtime subscription and support for modified system via diskette ($550 or $50/mo)
Source code no add-ons ($350, $150-renewal/new user)
Source code with POS, JC and BOM ($350, $150-renewal/new user)
Source code with add-ons specified in comments ($350, $150-renewal/new user)


What kind of network operating system do you use, if any? (choose one):

                          
 WIN 95/98 peer network
 Lantastic peer network
 WIN NT/2000
 Novell
 Linux
 Windows for Work Groups
 None/standalone
 Other


The primary operating system used on our client/workstation PC's is:
                          
 WIN 98
 WIN 2000
 WIN 95
 WIN 3.11/3.1
 DOS
 Linux
 Other (identify in comments)



Comments (specify billing option if applicable):

               



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