Automated Tracking System
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NC County  
Contact Person  
Title  
Mailing Address  
   
City, State, ZIP  

Shipping Address

  
 (if different)  
City, State, ZIP  
Phone  
E-mail  
Customer Reference  
Number Precincts  
Number iVo  
Number M-100  
 
Services Requested:
License Agreement   T $3700 - requires first year Annual Agreement
Annual Agreement   T $450 + $3 per iVo
Labeling Service
Optional		   £ $1 per iVo applied by customer staff
  £ $3 per iVo applied by CSTS with customer assistance
Database Initialization
Optional 		  £ $100 - customer supplies data table
 
Signed  
 
All prices subject to change. Order confirmation will include current prices.
If the price has changed the customer will have the opportunity to cancel the order.
CSTS reserves the right to not accept any order.
CSTS will not be held liable for loss of any kind, perceived or actual.
 

Instructions: Print and complete this form and mail to CSTS.
Mail completed form to Computer Systems Training and Support
531 South Country Club Road
Brevard, North Carolina 28712-7799