DATASENSE, LLC - NVivo 8 Upgrade Order Form (download March 2008, boxed April 2008)
QSR International Partner (USA)                                                                 

Fax form to (661) 215.9379 or email kconger@datasense.org
Prices subject to change without notice 

Registrant: Name: (last)_________________________(first)_____________________middle initial)_____
Institution:________________________________________________________________________________
Shipping: P.O. Box or street address (P.O. Box not accepted by Fed Ex):
_____________________________________________________________________________Apt./Suite: ____
City: ___________________________________________________________ State: ______ Zip: ___________
Phone: (home) (____) _________________ (work) (____) _________________Fax: (____) _________________
Phone for Shipping Label: (____) _________________
Email address for confirmation:__________________________________________________________________

Method and Authorization of Payment (check one):
University Purchase Order #________ (attach PO and fax to 661.215.9379)
Credit card: ___ VISA© ___MasterCard© ___American Express
Card number: ____________________________________________ Expires (MM/YY): ______________
Exact name as it appears on card_______________________________________________________________
Billing address for card:________________________________________________________ Apt./Suite: ____
City: _______________________________________________________ State: ______ Zip: _____________
Email address for receipt if different from registrant:_______________________________________________
Authorizing signature: __________________________________________________ Date: _____________
(I HEREBY AGREE TO COMPLY WITH ALL OF THE TERMS OF THE CARDHOLDER AGREEMENT)
To prevent unauthorized use of your credit card DATASENSE, LLC requires that all charge card users sign on the
Authorized Signature line of this form. Fax to 661.215.9379 or mail to mailing address shown at bottom of form.

ACADEMIC pricing applies if you’re a student, teacher or an academic who is learning, instructing or undertaking research
at an educational institution, or you work for a registered charity.  GOVERNMENT pricing applies if you belong to a
federal, state, or local government or agency, or belong to a not-for-profit organization (that is not a registered charity) that is
undertaking research.  COMMERCIAL pricing applies if you belong to an organization that is undertaking research for business
purposes. BULK PURCHASE DISCOUNTS apply to software with the same delivery method. For example, purchase four
download versions and receive a 10% discount, or purchase four boxed copies and receive a 10% discount. No discount would apply
however, if you purchased two download versions plus two boxed copies.

Serial number(s) earlier version:
______________________________________________; ______________________________________________
______________________________________________; ______________________________________________
Attach list if extra spaces are needed for serial numbers

Mailing Address:
DATASENSE, LLC
25101 Bear Valley Road, Suite 297
Tehachapi, CA 93561-8311

Ph: (661) 821-1909 Fax: (661) 215-9379   Email: kconger@datasense.org