Q-interactive Order Form

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Please complete the following information:
Fields marked with a * are required.
1 Licence Information 2 Customer Information 3 Summary 4 Terms & Conditions
This form can be used to purchase, renew, or modify your existing Q-interactive licence.
Order Type*
 
 
 
 
(Located under My Profile within Q-interactive Central, Qiactive.com)
(Located under My Profile within Q-interactive Central, Qiactive.com)
I need to make changes to my license (e.g., users, tests, etc.) as part of this renewal *
 
 
Licence Types*
Your licence will begin as soon as your order is processed. If you need it to start on a specific date, please indicate below.
Which tests do you want to use?*
 How many users? View Pricing Information
Please provide the following information for each user. Check the box if the user should have Administrator Rights.
 List of Users Return to Top 
 First Name  Last Name  Email  Professional Title  Admin  
Payment Options *
 
 
Or, if you are not registered (it's free), please register online then continue with your order.