Purchase order form

Number of simultaneously working LoMag users:

Invoicing module - cost 15 USD for each seat
Orders and offers module - cost 15 USD for each seat
Inventory item reservations - cost 15 USD for each seat
Rental management module - fixed cost 60 USD

Total amount to pay: 30,00 USD

Choose a payment method:

Online payment using PayPal (Visa, MasterCard, Discover, AE)
Money transfer to our bank account

Data required for invoicing:

Full company name: Street: Post code: Town: Country: EU VAT No. or Company Reg. No. My company is EU VAT registered business Email Address: Contact phone: Remarks: Verification: 1+2=

*Full company name:

*Street:

*Post code: *Town:

*Country:

EU VAT No. or Company Reg. No.

My company is EU VAT registered business
*Email Address:

Contact phone:

Remarks:

Verification: 1+2=