GSI Event Log Gatherer Registration Form/Invoice


Ordering by Check

To order by check send this order form and a check to:
Gravity Square, Inc.
5041 46th Ave NE
Seattle, WA 98105

Payments must be in US dollar check(s) drawn on a US bank, or
you can send international postal money orders in US dollars.

Purchase Orders

Purchase orders (net 30 days) are accepted only from government 
agencies or offices, accredited educational institutions, and 
major corporations, provided that they are submitted on purchase 
order forms with a purchase order number. Please be sure to include 
the standard GSI Event Log Gatherer order form with your purchase order.

GSI Event Log Gatherer License  

A license for GSI Event Log Gatherer entitles an organization 
to receive one copy of the software and install one instance
of the application. Licenses must be purchased for a specific
number of Microsoft Windows NT/2000/XP computers to be 
monitored by the application. The license fee should be calculated
according to the following schedule:

up to 25 monitored devices:		at $40.00 each = ______
up to 50 monitored devices:		at $37.00 each = ______
up to 100 monitored devices:		at $33.00 each = ______
over 100 monitored devices:		at $28.00 each = ______

Washington residents add 8.62% sales tax:               + ______

                            		Total Payment     ______

Prices guaranteed through April 2003.


Name: __________________________________________ Date: ________

Company: ____________________________________________________

Address: _____________________________________________________

City, State, Zip: _______________________________________________

Country: _____________________________________________________

Day phone: ______________________  Evening: ____________________

Electronic mail address: ________________________________________

Software password: ____________________________________________

Number of Monitored Devices: ____________________________________

How did you hear about GSI Event Log Gatherer? ____________________

_____________________________________________________________

Comments:____________________________________________________

______________________________________________________________

______________________________________________________________

______________________________________________________________


Any questions about the status of the shipment of an order,
refunds, registration options, product details, technical
support, volume discounts, dealer pricing, licenses, etc., 
must be directed to:

Gravity Square, Inc.
5041 46th Ave NE
Seattle, WA 98105, USA

or by Internet mail to elg@gravitysquare.com

