Mobile@Connector for MS Dynamics CRM order form

Licence period starts with
Mobile users count (max.100):
Quantity:	USD 25 /month
Total license fee :	USD
Payment type :


Invoice data
First name :		Last name :
Company :		Vat number :
Address :	/
City :		Postal code :
Country :
E-mail :	(1)
Confirm E-mail :	(1)
Your password required to access our service and the information needed to install Logotec Mobile@Connector will be sent to the specified e-mail address.

Please ensure you provide a valid email address. All necessary data and information, including your password to access the Mobile@Connector application, will be sent to this email address.
By filling in the form, you consent to Logotec Engineering S.A. using your personal information for marketing purposes, in accordance with the local Personal Information Protection Act.

I agree to receive commercial information and to Logotec Engineerings terms.