TeamSoftware Solutions Inc.
2017 24th St S.E.
Rochester MN, 55904
Fax Number: 507-289-2769
Michelle@TeamSoftwareSolutions.com

Public Web Browser version 2 order form (PWB v2)
Please fill out as completely as possible and Mail, Email, or Fax, to TeamSoftware Solutions. Your license number will be sent via Email on your paid invoice. A tax-exempt number is required for tax-exempt purchases. Expiration dates are based on date payment received by TeamSoftware Solutions. Please contact us with license and usage questions.

Company/Entity Name:		
Contact Name:		
Address 1:		
Address 2:		
City:		
County:		
State:		
Zip code:		
Telephone Number:		
Contact Email address:		
Purchase Order Number:		

Credit Card Information if paying by credit card
Card Holder Name	Card Number	Visa/MC	Expires	
				
Credit Verification Value	3 digit number on back of card	CVV2=		
Credit Card information is most secure sent via Fax, Mail, or through our secure Online Store.

Type:	Unit Price:	Quantity:	Total:	
Site License	$125.00			
Multiyear Site License	$125.00\Year			
Seat License	$40.00			
Terminal Server Site (Farm)	$300.00\Server			
Enterprise License	$10000.00			
		Minnesota Tax		
		Total		
All funds are in U.S. Dollars. Reseller discounts are applied on invoice.

Please see license agreement for details
Thank you for registering Public Web Browser (PWB), we hope the software meets and exceeds your requirements. PWB has been developed from comments and questions from libraries and institutions from around the world. Please send us your suggestions and needs for further development of PWB to meet your expectations.