ORDER FORM For Schedule VIEW
Selent and Associates, Inc.
23263 Harborview Rd Suite #1 Port Charlotte, FL 33980
Phone: 866-877-8555 or 941-255-3126 Fax: 503-907-7680
support@
ORDER FORM
Phone #_____________________________ _______________________________ Fax # __________________________
E-mail: ___________________________________________ Search Engine Used:__________________________________
Business Name:___________________________________________________________ Business Type:_________________
Contact Person: _________________________________________________________________________________________
Credit Card #:____________________________________________________Code:__________Exp: _______/____________
Name as it appears on credit card:___________________________________________________________________________
Address that credit card statement goes to:____________________________________________________________________
City:___________________________________________________ State:_______________ Zip:_______________________
Ship To Name:__________________________________________________________________________________________
Ship To Address (if different than above):____________________________________________________________________
City___________________________________________________State:________________Zip:_______________________
|Number of Users |Lite Edition |Standard Edition |Plus Edition |Price |
|Single user |$197 |$397 |$597 | |
|2 Users |$297 |$497 |$697 | |
|3 Users |$397 |$597 |$797 | |
|4 Users |$497 |$697 |$897 | |
|5 Users |$597 |$797 |$997 | |
|6 Users |$697 |$897 |$1,097 | |
|7 Users |$797 |$997 |$1,197 | |
|8 Users |$897 |$1,097 |$1,297 | |
|9 Users |$997 |$1,197 |$1,397 | |
|10 Users |$1,097 |$1,297 |$1,497 | |
|15 Users |$1,597 |$1,797 |$1,997 | |
|20 Users |$2,097 |$2,297 |$2,497 | |
|25 Users |$2,597 |$2,797 |$2,997 | |
|50 Users |$3,597 |$3,797 |$3,997 | |
|Add _____User(s) |$125/User |Total ___Users |Ser#:_______ | |
|Move-Up From V1 or V2 - to Version 3 |Please call for pricing and/or to order |
|WebSync |$297/Yr up to 10 Providers | |10 - $447 | |
|Requires purchase of ScheduleVIEW® |$397/Yr up to 20 Providers |$150 One time setup fee |20 - $547 | |
|Plus |$497/Yr up to 30 Providers | |30 - $647 | |
|Appointment Reminder Calls |$50/Mn up to 250 calls. |$150 One time setup fee | | |
|Requires ScheduleVIEW® Plus |251-500 Calls =18¢ | |$150 | |
| |501-600 Calls =17¢ |$150 Additional Message | | |
| |601-800 Calls =16¢ | | | |
|Technical Support |$60/Hour |Hours x $60 = __________ | |
|FL Residents Only | |7% sales tax | | |
|S&H |USA & Canada $15 |(Other Countries: $45) | |$15.00 |
| | | | | |
|TOTAL | | | | |
Payment Options: MasterCard, Visa, Discover and American Express are gladly accepted. Personal or company checks will be allowed to clear prior to shipment so allow 1 to 2 weeks for delivery of your permanent registration codes. Orders are shipped FedEx second day air. Because we offer a 30 day free trial, no refunds or returns are accepted. Please call if you would like 30 day demo for evaluation purposes.
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Support: One hour of telephone support is included within the first 30 days of your purchase. Additional support is $60 per hour, to be used in 15 Minute increments. 30 days of email support is included at support@. Support is also available on our website.
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