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order_form
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1994-09-11
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4KB
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129 lines
ClariNews Order Form
This form will allow us to begin your trial or your ClariNews
service. Please fill out the entire form, including billing
information. We must have the *entire* form completed before we
can begin either a trial or full ClariNews service.
Please e-mail this form to order@clarinet.com. If you wish to
return it by postal mail, please send it to:
ClariNet Communications
4880 Stevens Creek Blvd, Suite 206
San Jose, CA 95129-1034
Attn: orders
Please answer the following questions by placing your answers
after the colon on the same line as the answer keys (which
begin with a hash mark, "#"). Please do not delete the hash
mark ("#"), the colon (":"), or the keyword.
-----------------------------------------------------------------
What is the name of your company, group, or department?
#name:
When do you wish us to begin your service?
#start_date: Mon xx, 199x
-----------------------------------------------------------------
(Below you may duplicate fields to list multiple persons, and it may be
a good idea to include an E-mail alias that will point to the right
person in case of staff changes, vacations, etc.)
What is the name, email address, phone and fax number of the
person to contact about administrative issues?
#admin_name:
#admin_email:
#admin_phone:
#admin_fax:
Please provide the name, email address, and phone of the person
responsible for handling the technical aspects of the newsfeed.
#tech_name:
#tech_email:
#tech_phone:
Where is your organization located? Please provide your street
address, city, state or province, your country, and your postal or ZIP
code.
#street_address:
#city:
#state:
#country:
#postal_code:
You should have received a form via fax or postal mail with the
ClariNews terms and conditions. Have you received this form,
signed it, and returned it to us via fax or postal mail?
#agree: PUT-A-YES-HERE
--------------------------------------------------------------------
Please indicate the number of people who read USENET news or other
forms of electronic conferencing in your organization on the networks
covered by this licence. Include in your count people who have accounts
on the machine where the news is stored, those who will read news
from other computers on your network, and (as well as you can) people
who share accounts. Please note that this is NOT an estimate of the
number of people who will read ClariNet, but the number who read *any*
electronic conferences, including strictly internal ones, and the number
of people on mailing lists or using people who are potential ClariNet
readers. We know this is usually far more than the number of people
who will actually read ClariNet. If you also can get the ClariNet reader
count, after service starts, please contact us.
#netreaders:
--------------------------------------------------------------------
Please provide the name, email address, and phone of the person
responsible for handling billing information.
#billing_name:
#billing_email:
#billing_phone:
#billing_fax:
Would you like invoices sent by email, fax, or postal mail?
#sendby: email/fax/postal mail
Please fill in the address or fax number you would like the
invoices sent to.
#email_invoice:
#fax_invoice:
#billing_address: Accounts Payable
#billing_address:
#billing_address:
#billing_address:
If a purchase order number is available at this time, please
enter it here. If there will be no purchase order, put "none."
If there will be a purchase order but it is not currently
available, please use "pending."
#purchase_order:
If the purchase order expires after a certain date, and as such
we should expect a new purchase order number before that date,
put that here. Otherwise, put "never" here.
#PO_expires: put-date-or-"never"-here
You will be billed on an annual basis unless other arrangements
have been made.
#billing_period: annual
Feb 15, 1994