IP Royalty

Re-Seller Information

Reseller Company Name

First Name (Accuris)

Last Name (Accuris)

First Name

Last Name

Date Quote Request Needed

Subscription Renewal Date

Use the buttons below to upload a usage report. Only Excel file-types are accepted (Max Size is 3 MB).

Organization Name

Account Number

Quote ID

Organization Web Address

Country

Number of Locations

Number of SIMOS

Quote Request (Enter the number of times you have entered a quote for this Organization. If this is the first time, please enter 1)

Use the buttons below to upload files, if applicable. Only Excel file-types are accepted (Max Size is 3 MB).

Comments