Dental Products Market Share Study (DPMSS)
SOFTWARE SUBSCRIPTION FORM - 2008

The DPMSS Software Form is part of an accompanying License Agreement regarding Dental Products Market Share Study Software ("Licensing Agreement") and the submission thereof by Licensee to Strategic Dental Marketing, Inc. shall constitute Licensee's acceptance of the terms and conditions of the License Agreement.

Single Computer System License
Yes, I would like to order the DPMSS Software (Total US Data) for use on a Single Computer System:
    $2,382 for a Full Report
   $1,196 per category report
Name of Licensee (Company):
Address of Single Computer:
City/State/Zip/Country:       
Computer No:
    

Site License
Yes, I would like to order the DPMSS Software (Total US Data) for use on any Computer System at the "Site":
    $2,720 for a Full Report
   $1,376 per category report
Name of Licensee (Company):
Address of Site:
City/State/Zip/Country:       
Number of Computers on Site:
    

LAN License
Yes, I would like to order the DPMSS Software (Total US Data) for use on all CPU's accessible through the local area network (LAN):
    $3,095 for a Full Report
   $1,578 per category report
Name of Licensee (Company):
Address of LAN:
City/State/Zip/Country:       
Number of Computers on LAN:
    

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