Lead Retrieval Order Form To immediately secure your lead - PDF by kyliemc

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									                                       Lead Retrieval Order Form
To immediately secure your lead retrieval units and SAVE OVER $50.00 ONLINE, please visit https://CSEME2009.spsLeads.biz
Company & Booth Information
                                                                                                                                                     Show Name: CSEME2009
  Salutation                                                                                                                                         Date: March 25-27, 2009
                                                                                                                                                     Tradeshow: March 26 Only
   First Name:                                                     Last Name:                                                                        Location:
                                                                                                                                                     MTCC
                                                                                                                                                     North Building, Constitution
   Company:                                                                                                                                          Hall, Toronto, Canada

   Address 1:
                                                                                                                                                     Please complete this
   City:                                      State / Prov:                  Posta Code / Zip:                                                       form and fax it to:
                                                                                                                                                     1.866.873.8073
   Phone:                                                             Fax:                                                                           For more information please
                                                                                                                                                     contact us at: 905-695-0793
   Email:                                                                             Booth #:                                                       or support@spsLeads.biz



Lead Retrieval Solutions

   Solution / Service                                      Total Qty. Early Bird Rate                         Late Rate                 Onsite Rate            Sub Total
                                                                               up to March 3, 2009 March 4 to March 17, 2009             March 18, 2009

                  spsMobile                                                          $295.00                     $345.00                    $395.00
                  spsMobile
                  Additional Units                                                   $246.00                     $286.00                    $326.00

                  spsLead                                                            $395.00                     $445.00                    $495.00

                  spsConnect                                                         $495.00                     $545.00                    $595.00

   Custom Qualifiers (See Pg 2.)                                                      $55.00                          NA                        NA
   In-Booth Pick Up Service                                                           $60.00                      $60.00                     $60.00
   USB Key                                                                            $40.00                      $40.00                     $40.00

                                                                                                                                            Sub Total
    Payment Information
    Please select your method of payment                                                                                          GST & PST (13%)
           VISA          MasterCard                American Express                        Cheque Payment
                                                                                                                                        TOTAL DUE
     Credit Card #:                                                                    If payment by cheque, please
                                                                                       make cheque payable to
                                                                                       Streampoint Solutions Inc.
     Name on Card:
                                                                                       Mail to:                                                               GST#: 863117651
     Expiry Date:      Month:                   Year:                                  Streampoint Solutions Inc.
                                                                                       30 Pennsylvania Ave. Unit 15
                                                                                       Vaughan, Ontario, L4K 4A5
     Signature:



By signing this document I agree to the terms on page 2 of this Lead Retrieval Order Form..

Name:                                                         Signature:                                                                   Date:

                           Streampoint Solutions Inc. • 30 Pennsylvania Ave. Unit 15 • Vaughan, Ontario, L4K 4A5 • Phone: 905-695-0793 Fax: 1-866-873-9073
                                  Lead Retrieval Order Form
 Custom Qualifiers
  If you have purchased any custom qualifiers, please let your custom options below. Maximum of 30 Characters per option.

  Option 1:                                                                              Option 11:


  Option 2:                                                                              Option 12:


  Option 3:                                                                               Option 13:

  Option 4:                                                                               Option 14:

  Option 5:                                                                               Option 15:


  Option 6:                                                                              Option 16:


  Option 7:                                                                              Option 17:


  Option 8:                                                                               Option 18:

  Option 9:                                                                               Option 19:

 Option 10:                                                                               Option 20:


  Standard Qualifiers
1. SEND INFORMATION                   2. DECISION MAKER           3. SEND SAMPLES                                                      4. JUST INQUIRING
5. SEND QUOTE                         6. PURCHASE WITHIN 3 MONTHS 7. ADD TO MAILING LIST                                               8. READY TO PURCHASE
9. RECOMMENDS PURCHASE                10. HAVE REP CALL


Cancellation Policy:
Cancellations prior to March 3, 2009 will be entitled to a 100% refund. All other cancellations including units not picked up
onsite by your company representative are not entitled to a refund.

Rental Agreement:
I understand that I am responsible for the proper use and safe keeping of the spsLead/spsMobile/spsConnect Systems
covered by this agreement.

I acknowledge and understand that the total replacement cost of the spsLead/spsMobile/spsConnect Systems are $3000 per
unit.

I authorize Streampoint Solutions to charge the attached credit card $600 for failure to return the unit within one hour after
the event closing and the above replacement cost for failure to return the unit to the Streampoint Solutions office within 48
hours from midnight of the event closing.

I authorize Streampoint Solutions to charge the attached credit card the replacement cost of the unit for any theft or loss of
the unit(s) and for any damage incurred to a "remove damaged' unit.

I agree to return all equipment to Streampoint Solution’s onsite service desk within one hour of the show closing and must
obtain a ‘return’ receipt for proof of returning any rented equipment. Any equipment not returned to the Streampoint
Solutions onsite service desk, or in the case of an ‘In-Booth Pick Up Service’, to a Streampoint Solutions onsite staff member is
the responsibility of the customer.
                      Streampoint Solutions Inc. • 30 Pennsylvania Ave. Unit 15 • Vaughan, Ontario, L4K 4A5 • Phone: 905-695-0793 Fax: 1-866-873-9073

								
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