Dental Products Market Share Study (DPMSS)
SOFTWARE SUBSCRIPTION FORM - 2010

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 Data Marketing 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:
    $2,627 for a Full Report
   $1,319 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":
    $2,999 for a Full Report
   $1,517 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):
    $3,413 for a Full Report
   $1,740 per category report
Name of Licensee (Company):
Address of LAN:
City/State/Zip/Country:       
Number of Computers on LAN:
    

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