Billing Contact

Contacted regarding any billing related matters. Also receives access to any relevant product details and billing administration.

I am a reseller purchasing on behalf of my customer

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Technical Contact

End-User Technical Contact

Usually the administrator and point of contact for the product. Receives the license keys.

Copy from Billing Contact

Please enter your customer's details here.

First Name* Last Name* Company Address* Address 2 Address 3 City* State/Province* AlabamaArmed Forces AmericasArmed Forces EuropeArmed Forces PacificAlaskaArizonaArkansasCaliforniaColoradoConnecticutD.C.DelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Territory Zip/PostalCode* Country* Canada France Germany United Kingdom United States --------------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil Brunei Bulgaria Burkina Faso Burma Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Channel Islands - Jersey Chile China Colombia Comoros Congo (Zaire) Congo Cook Islands Costa Rica Cote d'Ivoire Croatia Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Gaza Strip and West Bank Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. West Bank and Gaza Strip Western Sahara Yemen Zambia Zimbabwe Email* Phone*

A copy of the quote / invoice will not be sent to the technical contact.

Credit Card Details

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Additional Details

Purchase orders are not accepted as a form of payment, and we cannot accept any conflicting terms and conditions associated with the purchase order.

By clicking 'Submit', you agree to and accept the terms of the AquaFold License Agreement set forth at https://www.aquafold.com/store_licensing and entering into a legally binding agreement. You should carefully review the AquaFold License Agreement before clicking 'Submit' or purchasing the AquaFold products or services.

PO Number

End-User PO

If you would like to add any additional notes relating to this order, please add them here. These notes will be reviewed by an AquaFold Team member and will not appear on your quote/invoice.

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All orders placed online are final, binding and non-cancellable upon submission online. All orders placed via email or by purchase order are final, binding and non-cancellable upon receipt by AquaFold. You are encouraged to carefully review all orders before submitting them to AquaFold (whether online, via email or by purchase order). Duplicate orders are binding and may not be cancelled, refunded or credited.