Systems Analysis & Design, Software Development and IT Consultancy

Systems Analysis & Design
Software Development
IT Consultancy

 
 

Secure On-Line Order Form
(Highlight red text for explanatory notes)


Mandatory Field (must not be left blank) Contact Name  
Position  
Mandatory Field (must not be left blank) Company NameCompany Name - This is the name which will appear in the license file  
Mandatory Field (must not be left blank) Address  
   
   
   
Mandatory Field (must not be left blank) Country  
Country Code             Area Code            Number
Telephone Number                           
Fax Number                           
Mandatory Field (must not be left blank) Email AddressEmail Address - The accuracy of your email address is extremely important as your license file will be sent to you via email.  
 Product   ieSupportManager HelpDesk v - (excluding taxes if applicable)
Mandatory Field (must not be left blank) Charge AreaAll Irish customers are subject to Value Added Tax at current rates. E.U. customers who do not supply a valid tax number will also be subject to Value Added Tax at current Irish rates. All others are exempt.   Ireland    EU    Outside the EU
Tax NumberEU customers please note that when entering your tax number you must also enter your country code e.g. IE 1234567A  
Coupon Code (if any)If you were given a coupon code please enter it here.  
Mandatory Field (must not be left blank) Payment MethodPayment for all orders MUST be made in Euro. Cheques and bank drafts should be made payable to ieComputerSystems Ltd. and crossed "A/C Payee Only. Not Negotiable". If paying via EFT (electronic fund transfer) please specify that all fees are to be paid by you.   VISA
Access/MasterCard/EuroCard
Cheque/EFT/Bank Draft
 Card Number  
 Card Expiry Date  
Card Check Digit/Batch Code  
 Card Holders Name  
 Card Holders Address  
   
   
   
   
Special Requirements  

 
Check that the order details above are correct before proceeding.

                     

 

 

 

 

 
 
 

Copyright ieComputerSystems Ireland Ltd. All Rights Reserved.
 Legal Issues
and Privacy Policy.