»QuickCalc
				Online order form
	QuickCalc Ltd | Registered in England and Wales | Company No. 5856948
	Registered Office | Cornwallis House | Howard Chase | Basildon | Essex | SS14 3BB
	email admin@quickcalc.co.uk web quickcalc.co.uk voice 07887 912811
	Once we have your order we'll send an email with your invoice in Adobe Reader (PDF) format. Site access is normally allowed whilst payment is being processed. If this order is for more than one user, please send the details by following the "Submit Users" link on the homepage.
	Organisation name
	Organisation Type
	Full Postal Address
	Postcode
	Contact Name
	Contact Telno
	Contact email
	No of QuickCalc site access licenses required
	NOTE:  Include as many people as are likely to need access to the secure QuickCalc website. Licensed users will be allocated individual user names and passwords.
	No of staff in your whole office or department
	INFO:  Site access licenses also cover local intranet installation if adequately licensed for whole organisation/department use.
		Subtotal
		Agreed % adjustment					%
		Total Annual Subscription Cost
		Your Purchase Order Number (optional)
	If your system requires it please enter you Purchase Order Number in the box above. Your invoice will show this number if supplied.
		QuickCalc unique reference number
	The QuickCalc unique order ref. is automatically generated when you submit the form. This will be used on your invoice if you do not submit a purchase order number.
»Please click Send below to complete your order «