MARC REPORT ORDER FORM

Institution: _______________________________________________________________

Address: _________________________________________________________________

City: ____________________________________________________________________

State/Country: ____________________________________ Zip: ____________________

Subscription contact:* _____________________________________________________

Email: ___________________________________________________________________

Phone: _____________________________ Fax: __________________________

Adminstration contact:* ___________________________________________________

Email: ___________________________________________________________________

Billing requirements: Purchase order: [   ]     Invoice: [   ] 

Payment Type:                      Check: [  ]     Bank transfer: [  ]    Credit card (surcharge):  [  ]

 

 

Qty

Price each

Total

MARC Report

 

$

 

Updates and Support (first 12 months)

 

FREE

FREE

Updates and Support (Additional 12 months)

 

$

$

Sales Tax (Florida only)

 

$

$

TOTAL

 

 

$

Tax exemption # (if Florida-based): _                                                                                       

Bibliographic Utility (e.g., OCLC, ITS, etc.):                                                                            

Local System (e.g., Dynix, ITS, Winnebago, etc.):                                                                    

Library Type: Academic [   ]   Public [   ]   School [   ]   Special [   ]   Other:                           

Please sign here:                                                                     Date of order:                             

Thank you for your order

The MARC of Quality
3830 S. Highway A1A, #4-167, Melbourne Beach, FL32951
Voice/FAX: 321-676-1904    Email Address

* Subscription contacts receive invoices or quotes when the annual subscriptions for the software are due

* Administration contacts receive notification of updates. If you are ordering multiple copies of the software and wish each user to receive notifications, send names and emails of each user.