| Client Information |
| Company Name |
|
| Client ID (if known) |
|
| Contact Name |
|
| Address |
|
| |
|
| City |
|
State/Province
(Canada, US and Australia) |
|
| Zip/Postal Code |
|
| Country |
|
| Telephone |
|
| Fax |
|
| E-mail Address |
|
| Industry |
If "Other":
|
| Number of Employees |
(in your entire organization) |
| Primary MIS Contact |
|
Primary MIS
E-mail Address |
|
| Primary Finance Contact |
|
Primary Finance
E-mail Address |
|
| Business Partner and Product Information |
| Solution Provider Number |
|
| Solution Provider Name |
|
| Solution Provider P.O. Number |
|
| Payment Terms |
|
| Certified Consultant's Number |
|
| Certified Consultant's Name |
|
| Choose One: |
New Purchase
Upgrade |
|
Upgrading From (if applicable):
|
|
ClientCare Level:
Note: One year of ClientCare
Software Assurance is mandatory when purchasing full
product or upgrading to a new product family (this
includes changing databases). Example: One year of
Software Assurance is mandatory when upgrading from
Sage Accpac 500 (Pervasive.SQL)
to Sage Accpac 500 (Microsoft SQL Server)]. Software
Assurance is optional when upgrading within the same
product family (keeping the same database). Each of the following is considered
a different product family: Sage Accpac 500 (Pervasive.SQL), Sage Accpac 500
(Microsoft SQL Server), Sage Accpac 500 (IBM DB2),
Sage Accpac 500 (Oracle) and Sage Accpac 500
(CA Ingres II); Sage Accpac 200
(Pervasive.SQL), Sage Accpac 200 (Microsoft SQL
Server); Sage Accpac 100;
Advantage Series Discovery Edition; Sage Pro 200 (VFP), Sage Pro 200
(MS-SQL server), Sage Pro 100; ACCPAC Executive Series, ACCPAC Director
Series; ACCPAC Plus; BPI Accounting II; ACCPAC Options;
ACCPAC VisionPoint (Compiled)/SBA Accountant, VisionPoint
(Source); ACCPAC HR Series; Sage Accpac WMS Lite for Sage Pro,
Sage Accpac WMS; ACCPAC CFO. Service is
subject to current ClientCare
Program Terms and Conditions (PDF).
|
| Date Purchased |
-
-
yyyy-mm-dd |
| CRM Server Name: |
(case sensitive) |
|
Please E-mail the Activation Code to:
|
| E-mail Address |
|
Product #1 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #2 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #3 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #4 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #5 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #6 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #7 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #8 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #9 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #10 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #11 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #12 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #13 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #14 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #15 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #16 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #17 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #18 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #19 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
Product #20 |
|---|
| Product ID-Serial # | - (Please enter zeroes for HR Series) |
| Part Number | |
| Product Price* | |
| ClientCare Price* | |
| ClientCare Term | |
|
Comments (optional)
|
|
|
|
|
| Important For Canadian orders, appropriate taxes
will be added at the time of billing. |
| * ClientCare Software Assurance is
not required for some upgrades. |