CLC Order Form: Reference Solutions

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Please fill in the product and price information given on your quote email.

In order to secure a deep discount for our members, CLC places a group order with Data Axle Reference Solutions and pays them in advance. The invoice for your portion of the group order will be sent out prior to your subscription start date. Please be aware that we must receive payment within 30 days of your invoice date. We will charge a 5% late fee for invoices that are not paid within 30 days.

Please note that when purchasing subscription databases, CLC membership must remain current for the duration of the subscription period. CLC reserves the right to impose additional charges equaling the value of savings received on your subscription(s) if membership lapses.

Thank you for your understanding and prompt payment.

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メールアドレス *

Contact Information

Provide information for the person ordering. You will have an opportunity to add a billing contact later.

Library Name *

Contact First Name *

Contact Last Name *

Work Phone *

Price & Confirmation

Price - Please refer to your email quote for price. *

Confirmation *

By accepting this quote, I understand that I am authorizing the Connecticut Library Consortium to place an order on behalf of my library. I agree to pay for this product at the quoted price within 30 days of the invoice date. I understand that a 5% late fee will be charged if payment is not made within 30 days.

I do not wish to renew my subscription.

必須

Billing

Please fill out the information below so that we can send the invoice to the proper person. We will email the invoice before your subscription period start date. If you require a paper invoice, we will send one upon receiving a purchase order.

Billing Contact First Name *

Same as contact name above.

その他:

Billing Contact Last Name *

Same as contact name above.

その他:

Billing Contact Email *

Same as contact email above.

その他:

Billing Contact Phone Number *

Same as contact phone number above.

その他:

Billing Contact Address *

Please Include: Street Address, City and Zip. Example: Connecticut Library Consortium, 234 Court St, Middletown CT 06457

Purchase Order

If you will be using a P.O., please provide P.O. number if you have it.

Do you have any questions or comments?

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