Consulting 2000 in Education Application

Educational Discount Application Form
In order for an application to be considered, this form must be completed in its entirety.
YOUR DETAILS:  
Organisation Name: Phone:
Contact Name: Fax:
School ID: Email:
Address: Discount level requested: (max 50%)
Postcode:
Country:
AVG ANTI-VIRUS SOLUTION REQUIRED: NUMBER OF LICENSES REQUESTED:
AVG Network Edition Number of workstations
AVG Email Server Edition Number of workstations
Number of mailboxes  
KINDLY SPEND A FEW MOMENTS ANSWERING THESE QUESTIONS:
1. Where did you hear of AVG?
2. Why have you selected AVG?
3. Are you replacing an existing antivirus product? Yes / No
If yes, which one?
4. May we use you and/or your school as a reference? If you agree to be a possible future reference, then we will contact you prior to using your name. Of course, no specific configuration or internal company data will be divulged by us to any third parties.
Yes / No
Terms and conditions.
The license(s) are not transferable, and are only for the use of the organisation named on this form. Installation and any additional services are extra. Please sign to accept the terms and conditions above. This form must be filled in by a representative of the organisation indicated on this form..
I accept the terms and conditions: Yes / No
Name: Date
Position:    
** By pressing Submit, you are authorising this form as per signing a document
 

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