Signum Technologies - SureSign

On-Line Order Form to License SureSign Writer

To obtain a licence to use the SureSign Writer plug-in you should complete this form. Payment can be accepted in Pounds Sterling or US Dollars by Credit Card (VISA or Mastercard only). VAT or Sales Taxes, where applicable, will be charged in addition.

You will be contacted once we have received your completed order form since we are currently unable to process credit card transactions directly via this Web site.

To enable your SureSign Writer Plug-in to identify your images with an exclusive User ID you will need to obtain an Access Code from us. Once your payment has been processed, we will email your unique Access Code to you. Please ensure therefore that you show your email address and telephone number correctly on the form.

If you have any queries or problems, please contact Signum Technologies Ltd. for help.

Access Code Order Form

These contact details will be used in the Registry database

Date	Your Reference
Title	First Name
	Last Name
Position
Organisation/Company
Address


Town/City
County/State
Postcode/Zipcode
Country
Telephone
Fax
Email address
URL

Order form for all countries except North America

This section should be completed if you are ordering from a country outside North America. If you are based in North America, please click here.

I wish to licence copy/copies of the SureSign Writer Photoshop Plug-in at £495.00 Pounds Sterling per annum for the first licence and £95.00 Pounds Sterling per annum for each additional licence.

EU customers registered for VAT must state their VAT Registration Number otherwise VAT must be added. VAT is not chargeable for countries outside the EU.

Special Instructions

Order form for North America

This section should be completed if you are ordering from North America. If you are based outside North America, please click here.

I wish to licence copy/copies of the SureSign Writer Photoshop Plug-in at $795.00 US Dollars per annum for the first licence and $145.00 US Dollars per annum for each additional licence.

Special Instructions

Invoice address, if different from above.

Name

Address

Town/City

County/State

Postcode/Zipcode

Country

Registry Details
When you have been allocated a User ID, your name and address details will be entered into our Registry so that you can be identified and contacted by people holding or using images containing your unique watermark. Please choose how you would like your details published on the Registry:
Publish the contact information I have given above
Publish contact information different to that given above

Payment
Payment must be made in full by Credit Card (Visa or Mastercard), in Pounds Sterling or US Dollars, before your Access Code is e-mailed to you. Prices are subject to change without prior notice.
Please do not send your credit card details electronically. After you have 'submitted' this form we will call you back to request your credit card details - please remember to include your telephone number in the details above. Please have the following details ready for when we contact you:

Personal or company card

Credit card number

Expiry date

Cardholder's name

Customer Profile

Area of activity

Other