First Name:
Last Name:
Email:
Phone:
How would you categorize this request?: CS - Kesi/Itools CS - Sopris/Voyager CS4 NT Web License Account Activation K3000 WL Account Activation RMA Form Tech Support
Customer Type: Canadian Reseller CustomerDirect CustomerInternational Reseller CustomerUS Reseller CustomerUnknown
Purchase Order Number - WL Activation:
Order Number:
Organization Type: Charter SchoolCollege or UniversityOtherPrivate School (K-12)Public School District
List Schools (if a subset of schools within district):
Organization Name - WL Activation:
Organization Address:
Administrator Name:
Administrator Email:
Administrator Phone:
Administrator Fax:
New Account or Add-On Licenses (K3000): K3000 v12 (Win) / v4 (Mac) - Add-OnK3000 v12 (Win) / v4 (Mac) - New AccountK3000 v13 (Win) / v5 (Mac) with firefly - Add-OnK3000 v13 (Win) / v5 (Mac) with firefly - New Account
License Type: Seat LicensesSite License
License Count (if Seat Licenses):
Student Enrollment (if Site License):
Activation Date:
New Account or Add-On Licenses (CS4): My organization has an existing CS4 Web Licensing account (Add-on)My organization is new to CS4 Web Licensing (New)
Site Name (if Add-On licenses):
Amount of CS4 WL servers (1 per 30 simultaneous users):
List the name of each planned CS4 WL server:
Original Order #:
Original Order Date:
Original Purchase Order #:
Contact Name:
Contact Phone #:
Contact Fax #:
Contact E-mail Address:
Customer Type: College or UniversityIndividualOtherPrivate School (K-12)Public School DistrictReseller or Bookstore
Customer/Organization Name:
Address:
Reason for Return: Customer - Ordered Incorrect Product/QuantityCustomer - Other ReasonCustomer - Provided Incorrect AddressVendor - Failed to follow Client InstructionsVendor - Other ReasonVendor - Provided Incorrect Ordering AdviceVendor - Shipped Incorrect Product/QuantityVendor - Shipped to Incorrect Address
Provide an Itemized List (Quantities, Item #s and Descriptions) of Items to be Returned:
How can we assist you?
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