On-line order form    
  QuickCalc Ltd | Registered in England and Wales | Company No. 5856948    
  Registered Office | Cornwallis House | Howard Chase | Basildon | Essex SS14 3BB    
  email admin@quickcalc.co.uk web quickcalc.co.uk voice 07887 912811    
  When your order is processed you'll receive an email containing your invoice in Adobe Acrobat format. Site access is normally granted provisionally prior to payment being processed. To enable this please submit your usernames using the link on the homepage.  
  Organisation name    
  Organisation Type    
  Full Postal Address    
  Contact Name    
  Contact Telno    
  Contact email    
  No of QuickCalc site access licenses required    
  NOTE:  Include as many people as are likely to need access to the secure QuickCalc website. Licensed users will be allocated individual user names and passwords.      
  No of staff in your whole office or department    
  INFO:  Site access licenses also cover local intranet installation if adequately licensed for whole organisation/department use.      
  Agreed % adjustment %    
  Total cost ex VAT      
  VAT @ 20%        
  Subscription inc VAT        
    Your Purchase Order Number (optional)    
  If your system requires it please enter you Purchase Order Number in the box above. Your invoice will show this number if supplied.    
    QuickCalc unique reference number    
  The QuickCalc unique order ref. is automatically generated when you submit the form. This will be used on your invoice if you do not submit a purchase order number.