SimpleK Software Order Form

Brand*
Distributor Purchase Order Number*
Distributor Account Number*
	Standard Edition
	SMK040-30	Primary License (3 users)
	SMK040-31	Updates & Support Plan on Primary License, 1 year
	Professional Edition
	SMK042-30	Primary License (3 users)
	SMK042-32	Additional license
Part Number*:	SMK042-35	Updates & Support Plan on Primary License, 1 year
	SMK042-33	Updates & Support Plan on Additional License, 1 year (per Add. Lic.)
	Add-On Modules
	SMK032-31	Item Tracking
	SMK032-33	Web Interface
	SMK032-35	Room Management
	SMK032-37	Mobile Applications
		To receive your SimpleK license and download link with instructions for your new software package, the following End User Information is required:
Company/Institution Name*
Mailing Address*
City*
State/Province*
Zip/Postal Code*
Country*
Primary Point of Contact*
Telephone*
Email Address where license and download link will be sent*

^* Required field