S-integrator TM
Support Registration Form
To sign up for support:
1. Print this page using browser's "Print" function
2. Fill out the Registration Form
3. Mail the Registration Form with a Check or Money Order to the address shown below
4. You will be notified via email when your support registration has been activated

Contact Information:(please print clearly)      
Company: ____________________________________   Email Address: ____________________________________
Name: ____________________________________   Phone Number: ____________________________________
Address: ____________________________________      
City/State/Zip: ____________________________________      

S-integrator Support Registration: (prices in U.S. $)
Item Name Price Number of Years Total 
S-integrator Support Level 1 $ 1,000.00/year ______ $ ______________
S-integrator Support Level 2 $ 5,000.00/year ______ $ ______________
S-integrator Support Level 3 $ 10,000.00/year ______ $ ______________
  Total:  $ ______________
Total Enclosed: U.S.$_______________

Payment Information: 
Make check or money order payable to:
Indigo Technology Partners, Inc.
Mail Registratiion Form with Payment to:
Indigo Technology Partners, Inc.
P. O. Box 100
Skillman, NJ 08558-1661
 
Thank you for your registration
 
Questions? email sales@s-integrator.org
Home