Formulaire de réclamation

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Membership Form – Partnership Program for Avantage Developer
Section 1 – Identification
1.1 Developer
Company
Invoiced to
Contact Person
Position
Address
Telephone (With Area Code)
City
Province
Required number of SID (one per server)
Postal Code
Fax
Language Preference* (Select)
French
English
Email (this email address will allow yourself to access the Developer Forum and to download all the documentation)
*ACCEO Solutions Inc. will use this language to communicate with the customer.
Section 2 – Offers
2.1 Partnership Program for Avantage Developer
The registration fees give access to different tools (according to the status) up to April 30, 2016. Annual fees should then be paid
before the predetermined renewal period of May 1, each year. For more details on the different packages, visit the website.
Details
Price (without taxes)
“Add-In” Package
“Add-In Plus ” Package
(1)
“Partner” Package
“Partner Plus” Package
(1)
Price (including taxes)
$199.95
$229.90
$299.95
$344.87
$399.95
$459.85
$499.95
$574.82
Subtotal 2.1
(1)
Development for the Acomba and Avantage software
The information entered on the Add a compatible software form for “Partner” and “Partner Plus” packages will be displayed on
the Avantage website at avantage.ca/partenaires/compatible-software/, in section Complements – Compatible Software.
For the “Partner Plus” package, the information entered on the Add a compatible software form will also be displayed on the
Acomba website at acomba.com/language/en-US/Complements/Compatibles, in section Partners – Compatible Software.
2.2 Training
Refer to the Web site for more information regarding the training. A representative will contact you to finalize the registration to a
training session.
Number of
Attendees
Details
Training
x
Price
(without taxes/including taxes)
Price (including taxes)
$495.00 / $569.13
Subtotal 2.2
2.3 Optional Telephone Technical Support
The telephone technical support is sold with a certain number of hours. The cost varies according to the package and the number
of hours is established at 10. The terms and details of the telephone technical support are explained on the website.
Details
Price (without taxes)
“Add-In” and Add-In Plus ” Package
“Partner” and “Partner PLUS” Package
Price (including taxes)
$1 100.00
$1 264.73
$990.00
$1 138.25
Subtotal 2.3
ACCEO Solutions Inc.
2015-04-28
7710, Wilfrid-Hamel Blvd. West Quebec (Quebec) G2G 2J5 | Telephone: 418 877-0088 or 1 800 862-5922 | Fax: 418 877-9994
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Membership Form – Partnership Program for Avantage Developer
2.4 Total Cost
To know your purchase’s total amount, report the amounts of the previous sections of your package below.
Details
Price (without taxes)
Price (including taxes)
Subtotal 2.1
Subtotal 2.2
Subtotal 2.3
General Total
Administration
Fee
GST
$15
QST
TOTAL
Section 3 – Payment
Payment mode
Authorized Amount ($)
Credit Card (Complete out Part I)
Cheque
Part I – Additional Payment Mode Information
Credit Card
Type
Card Number
Visa
Amex
Name of Cardholder
Expiration
MasterCard
Signature
Section 4 – Signature
I acknowledge that the information provided in this form is accurate and that I have read the terms and conditions specific to my
package on the Web site.
Contact Person
ACCEO Solutions Inc.
2015-04-28
Date
7710, Wilfrid-Hamel Blvd. West Quebec (Quebec) G2G 2J5 | Telephone: 418 877-0088 or 1 800 862-5922 | Fax: 418 877-9994