Dalek Registration Form

(for customers outside the European Union)

UK VAT (Value Added Tax) does not apply to customers outside the European Union. The following prices are given in US$. Non-US customers are invited to convert the following prices to their local currency.

Please circle either single or multiple registration

 

Single Registration

Single Copy at $10

 

Multiple Registration

Please indicate the number of computers on which Dalek is installed and calculate the correct price

2 to 9 computers:        ___ computers at $6 each =    ____

10 to 24 computers:     ___ computers at $4 each =    ____

25 to 49 computers:     ___ computers at $3 each =    ____

50 to 99 computers:     ___ computers at $2 each =    ____

100 to 199 computers:   ___ computers at $1.5 each =  ____

200+ computers:         ___ computers at $1.25 each = ____

 

Corporate License

Any number of copies for your whole company/organisation $2000

 

Please provide the following information when registering:

Full Name/Name of company: _________________________________________________________

Your Address: _____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

E-Mail Address: _____________________________________________________________________

Windows Version: _________________ Dalek version _________________

Where did you obtain Dalek? ______________________________________________________