Miromaa Purchase License Request Form

Please Read FIRST

You are completing this form because you are requesting to purchase Miromaa Licenses.

Please forward separately to us a Purchase Order form with all necessary details to fax no +61 2 4925 2185 as well as completing the below form details. You can also attach a copy of the PO to this form below.

Pricing is as follows:

1 to 4 licenses @ $550 each license (Full price – no discount)
5 to 10 licenses @ $360 each license (saving of approx. 33%)
11 or more licenses @ $275 each license (saving of approx. 50%)
All pricing includes GST

Please ensure that you do not qualify to obtain Miromaa via our sponsorship, if you do qualify we will provide Miromaa to you free of charge.

By completing this form you understand that you may be contacted for further information in regards to your language activities in the context of how Miromaa may be used and your suitability to receive Miromaa.

If you have any questions in how to complete this form please do not hesitate to contact us, we cant wait to help you obtain Miromaa.

Fields marked with a * are mandatory and must be filled in.

About the Organisation
Name of Organisation (*)
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Community Name (*)
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Language Name/s (*)
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About your language activity

Organisation Contact Details
Address (*)
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Country (*)
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Site Address (*)
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Phone Number (*)
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Web Address

License Purchase Details
Number of Licenses Requested (*)
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Purchase Order #
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Attach Purchase Order
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Name of Person completing this form (*)
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We will email the invoice to you unless you state otherwise in the comments
Your email (*)
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Comment

Submit Your Request

After receiving this request we will verify that we have all necessary details including purchase order and contact details. Once we are satisfied we have enough information we will process your order, email your download instructions and forward the invoice for payment to those terms.

We do everything manually and do not except online payments at present for the sale of Miromaa

Please ensure that you do not qualify to obtain Miromaa via our sponsorship, if you do qualify we will provide Miromaa to you free of charge.

By completing this form you understand that you may be contacted for further information in regards to your language activities in the context of how Miromaa may be used and your suitability to receive Miromaa.

This license if granted will permit me to install Miromaa on a computer for the specified organisations use only.
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