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Order form

Use the following form to order a license file for Oculens Document and Data Capture (DDC) software.

Information provided on this form will only be used for purchasing procedures and will only be passed on to Active Record Ltd. staff for valid business reasons (order processing, accounting).

A proforma invoice will be sent to your e-mail address. This proforma invoice can be paid via bank transfer: our bank account transfer details will be included on the proforma invoice.

For customers within the EU: VAT subject to reverse charge in the country of receipt

    PRODUCT
    Product name:

    Number of licences:

    LICENCEE INFORMATION



    BILLING INFORMATION







    REMARKS

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    Terms & Conditions:
    In the name of Licensee
    - I hereby agree to abide by the licence conditions.
    - I have understood that licenses are NOT returnable and no refunds will be issued.
    - I accept the conditions of the End User License Agreement.
    - (GDPR Agreement) I consent Active Record Ltd. to store my submitted business information so they can respond to my inquiry.