CLE Tracker Order Form
Total Page：16
File Type：pdf, Size：1020Kb
CLE Tracker Order Form
Company Information
Company Name:
Address:
Address 2:
City:
State:
Zip:
Telephone Number:
Company Website address:
Number of Attorneys:
Company Contact Person
First Name:
Last Name:
Telephone Number:
E-mail address:
Company Room Number:
Payment method Credit Card Number*
Visa
MasterCard Security Code xxx
Name of Card Holder (name on card) Expiration date
Month Year: Check enclosed Payable to Urick Consulting LLC
Have us call for Credit Card Number Telephone number to call:
Order Information Qty Cost each Total
CLE Tracker for tracking : 1 employee $300.00 $0.00
CLE Tracker to track : 2-5 employees $600.00 $0.00
CLE Tracker to track : 6-15 employees $1,000.00 $0.00
CLE Tracker to track : 16-30 employees $1,500.00 $0.00
CLE Tracker to track : 31-50 employees $2,100.00 $0.00
CLE Tracker to track : 51 – 200 employees $2,500.00 $0.00
CLE Tracker to track 201 – 500 employees $3,000.00 $0.00
CLE Tracker to track 501-1000 employees $3,800.00 $0.00
CLE Tracker to track 1001-2500 employees $4,500.00 $0.00
ASP web pages w/1 license $2,000.00 $0.00
*ASP remote site licenses $600.00 $0.00
Total (Non Ohio Residents) $0.00
Ohio Residents
Ohio Residents add 8.00% Sales Tax $0.00
Total for Ohio Residents $0.00
*An ASP license is required for each remote site that will be accessing the databases.
Comments:
Submitting your order: E-mail: Save this completed order form and include it as an attachment in an e-mail message to [email protected].
Regular Postal Mail: Print this completed form and mail to Urick Consulting LLC, 5790 Preserve Lane Sheffield Village, Ohio 44054.
*It is not recommended to transmit credit card information via e-mail. Provide a telephone number and we will call to verify order and obtain credit card information or submit this order form using regular postal mail.