This form must be attached to your purchase order.
All requested
information must be provided for us to process your order.
PO must be made out to: WiLS, 728 State Street, Room 464, Madison WI 53706.
Contact Person:______________________________________________
Library:_____________________________________________________
Street:_____________________________________________________
City, State, Zip:______________________________________________
Phone:________________________Fax:_________________________
Email: __________________________IP Range: _________________________
Simultaneous User-Based Pricing
| 1 user | $ 421 | _____ |
| 4 users | $ 631 | _____ |
| 8 users | $ 842 | _____ |
| 12 users | $1,157 | _____ |
| 1-1,500 | $ 421 | _____ |
| 1,501-3,000 | $ 561 | _____ |
| 3,001-5,000 | $ 701 | _____ |
| 5,001-7,000 | $ 855 | _____ |
| 1-1,500 | $ 210 | _____ |
| 1,501-3,000 | $ 281 | _____ |
| 3,001-5,000 | $ 352 | _____ |
| 5,001-7,000 | $ 429 | _____ |
| Total | _____ |