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Purchase Order Form
Please fill out the information in this form to initiate purchase via Purchase Order.  Once we receive your form, we will generate an invoice to send to the contact listed here.

Please know that the minimum order amount to purchase via Purchase Order is $1,000 USD.  The total will be payable only via Wire Transfer to our UK-based reseller, Paddle.com.  By submitting this form, you agree that your institution agrees to provide payment via Wire Transfer.
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Customer Name: *
Country: *
Address: *
City/Town: *
State/Province: *
Postcode/Zipcode *
Email to which the invoice should be sent: *
Subscription(s) you would like to purchase, and the Google Accounts to which the subscription(s) should be assigned (example shown in image below): *
Captionless Image
Sales tax/VAT number (optional):
Date that you would like the subscription(s) to start: *
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Date that you would like the subscriptions(s) to end: *
MM
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DD
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