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 Instructions

  • Fill in the customer information form
  • Select the product type - Pre Selected - Anti-Virus
  • Select the product brand - Pre Selected - Anyware Antivirus
  • Specify Operating System
  • Specifiy quantity required
  • Specifiy if a site or enterpise wide license is desired
  • Write a description of your product or system requirements if required

    Please complete all fields. Fields with * are required.
    Note: All information will be kept confidential by Security-Online.


     Contact Information
     Return the quotation to the below email address.

     Return the quotation to the below postal mailing address.

    Date Quotation Required*

    Use tab key or mouse to move between fields.
    E-mail Address *
    Last Name *
    First Name *
    Title *
    Organization *
    Department
    Address 1*
    Address 2
    City*
    State or Province*
    Zip or Postal Code*
    Country*
    Voice Phone Number*
    Fax Phone Number*


     Product Information

    Write-in type required if not listed above  

    Write-in brand required if not listed above  

    Write-in OS required if not listed above  

    Quantity:
    Clients  (individual PCs (desktops or laptops) to be equipped)
    Servers  (if required)

     Please quote a site license.

     Please quote an enterprise wide license.


     System Description (if required)

    Write a description of your requirements in this notepad area.

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    Page Updated - August 1997

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