Online Consulting Service - Subscription and Order Form

Online Consulting Service
Subscription and Order Form

Use this form to subscribe as a new Online Client for Online Consulting Service and to order your first package of consulting units.
In this case, please complete all fields of this form or you will get an error (in which case press Backspace to go back to the form).

If you are a subscribed Online Client, you may use this form to add more consulting units to your existing package (or to order a new package if your present package is depleted or is soon going to be depleted).
In this case, just enter "N/A" in all fields of the General Information area.

SUBSCRIPTION AND ORDER FORM

a) general information

Name		Surname
Company		Your Position
Street Address		Postal Address
Town & P/Code		Country
Telephone		Fax
N. of Employees		Turnover (US $)
Your E-Mail Address
Your Company Web Site address (enter "none" if your Company doesn't have a Web Site)

Your industrial sector and the main product/s or service/s of your Enterprise

A brief history of your Enterprise

b) consulting package order section

I am subscribing as a new Online Client	I am a subscribed Online Client
Here is my/our OCN (Online Client Number) (New subscribers: please enter "N/A")

I/we wish to order a *package of consulting units*:
5 consulting units package USD 600	10 consulting units package USD 1000	20 consulting units package USD 1800

Thank you for your valuable order!
You will soon receive by e-mail instructions for payment
If you are subscribing as a new Online Client, you will also receive your OCN number

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