Idris Order Form

Please print out this form, then complete all fields and on completion, sign it, and post it to us complete with your payment and preferred installation time.

To:

Mondoni Ltd.,
P.O. Box 37306,
Christchurch.

Tel: 0800 843 747   

From:

Dealer Company Names
Trading Name
Dealer Principal
Physical Address
 
Postal Address
 
City/Town
GST Number
Phone
Fax
E-mail
Web
Site hosted by
Search engines used
Finance company
MBI/CCI

Please supply Idris software licenses as follows:

Idris Single User Licence x1 (required)
@ $1250
= $
Idris Workstation Licenses for extra PCs: x
@ $1250 ea
= $
Web site design (standard five-page site)
@ $POA
= $
Web site transfer (standard five-page site)
@ $POA
= $
Data conversion
@ $POA
= $
Other
= $
Other
= $
 
Total excluding GST
= $
Add GST @ 12.5%
= $
Total including GST
= $
 
Deposit due on signing (minimum 25%)
= $
Balance due on day of installation
= $

I warrant that I have received and am satisfied with a demonstration of the features of idris, and have read, understand and accept the terms of the licensing agreement attached and am authorized to sign this agreement for the Dealership.

Signed for the dealer

Signature
Name
Date
Position

Signed for Mondoni Ltd.

Signature
Name
Date
Position

For internal use

Deposit paid
Cheque reference
Reseller name & salesperson
Motor Vehicle Register #
Hosting Charges AP Signed

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