AppliTrack Recruiting

Online Purchase Form

1. Pricing

Organization Type:

School District
Higher Education, Park District, Muncipality or Other Non-Profit
Business or Other Organization

Number of Students (FTE):
Show/Hide Rate Table

Students	Annual Subscription
0-99	$730
100-399	$730
400-1,299	$730
1,300-2,699	$1,460
2,700-5,999	$2,900
6,000-9,999	$3,900
10,000-19,999	$5,550
20,000-29,999	$7,300
30,000-39,999	$9,050
40,000-49,999	$12,800
50,000-59,999	$15,550
60,000-69,999	$18,300
70,000-79,999	$21,050
80,000-89,999	$23,800
90,000-99,999	$26,500
100,000-109,999	$29,300
110,000-119,999	$32,050
120,000-129,999	$34,850
130,000-139,999	$37,650
140,000-149,999	$40,450
150,000-159,999	$43,250
160,000-169,999	$46,050
170,000-179,999	$48,850
180,000-189,999	$51,650
190,000-199,999	$54,450
200,000-209,999	$57,250
210,000-219,999	$60,050
220,000-229,999	$62,850
230,000-239,999	$65,650
240,000-249,999	$68,450
250,000-259,999	$71,250
260,000-269,999	$74,050
270,000-279,999	$76,850
280,000-289,999	$79,650
290,000-299,999	$82,450
Over 300,000	for pricing.

Buy Additonal File Storage:

Yes No

What is Additional File Storage? As an AppliTrack user you have an unlimited number of 2MB uploads. For only 10% of your AppliTrack Recruiting rate you can upgrade to unlimited size uploads. The extra storage would allow uploads of audio or video files as well as anything over the 2MB limit.

Payment Schedule:

Annual Fee:

$________

Your first month of service is FREE! Sign up now for your billing to start on 7/18/2013.

2. Organization Information

Organization:

Billing Street Address:

City:

State or Province:

Postal Code:

Country:

3. Primary Contact Information

Your Name:

Position:

Email:

Confirm Email:

Phone:

Fax:

Website:

4. Discounts & Sales Info

Promotion Code:

An installation engineer will verify your promo code upon receipt.

Sales Consultant:

We'll notify any sales consultant you've been working with.

Referred By:

Did one of our existing customers refer you to us?

Comments:

5. Service Agreement

A highly qualified member of our support team will create your site within one business day and email you the instructions to log into your new AppliTrack installation, customize it and link it to your website.

Most new customers complete any setup and/or any customization in just a few hours.

Service Agreement License:

I agree to the terms of service.