DCS HiSET Prep Online Site License Order Form

This is a secure order form. Your information will not be shared with any other company and will be transmitted using a secure server.

A site license will allow an unlimited number of students to register and use the DCS HiSET Prep Online software for a one-year period. The site license is issued to one physical location. All students can access DCS HiSET Prep Online from this location or from their home.

After your order is accepted, a site license packet will be emailed to you and will include:
   — introductory letter and instructions
   — your site license agreement
   — administrator documentation
   — software DVD (Network version - site license packet is mailed via US Postal Service)

Two versions of site licensing are available.
The first is an online version through which your students log into our web site.
The second is a network version. Our software is installed on a server in your facility. No Internet connection is required. The network version is compatible with PCs running the Windows operating system.

Multiple site licensing
Multiple site licenses can be purchased if you have more than one physical site.

Site License Pricing.
License pricing is based on the number of students expected to be registered under the license
and will be reviewed annually.

Number of Students	Online Price
1-50	1250
51-100	1,800
101-250	3,750
251-500	6,500
501-1000	12,000
1001-2000+	20,000

Note: Network price: add $250 to online price.

Computer minimum system requirements:
Server:
   — Windows operating system with .Net Framework 4
   — Microsoft Internet Explorer, V9 browser supporting HTML5 video
   — 4 GB of system memory (RAM)
   — 4 GB of free hard drive space
   — Color monitor with a resolution of 1040 by 800
   — DVD drive (for installing software)
   — Printer (recommended, but optional)
   — Sound card and speakers
   — Keyboard
   — Mouse
Clients:
   — Windows operating system with .Net Framework 4
   — Microsoft Internet Explorer, V9 browser supporting HTML5 video
   — 500 MB of system memory (RAM)
   — Color monitor with a resolution of 1040 by 800
   — Printer (available through network)
   — Sound card and speakers
   — Keyboard
   — Mouse

Organization Information (* = required field)

How did you find HiSETonline?*

Which one?

Organization Contact First Name:*

Organization Contact Last Name:*

Organization Name:*

Address Line 1:*

Address Line 2:

City:*

State:*

Country(if outside of USA)*

Zip Code:*

(Area Code) and Phone Number:*

Email Address*:

Select the site license version
Online

Network

Site License Version:*

Expected student registrations
1-50

51-100

101-250

251-500

501-1000

1001-2000+

Registrations:*

Method of Payment   (You must select one method of payment*)

Credit Card

Mail a Check

Purchase Order

Sponsor ID

Fill in the information required for the payment method you selected*:

1. Credit Card

Card Number:

Expration Date:

Month:

Year:

Cardholder's Name:

Master Card

Visa

American Express

Discover

Card Type:

2. Mail a Check

Make your check payable to DCOMS-SP and mail it to:
Diversified Computer Services
PO Box 2199
Kenosha WI 53141-2199

3. Purchase Order

Purchase order number:

Your purchase order can be faxed to 267-654-6979 or mailed to:

Diversified Computer Services
P.O. Box 2199
Kenosha, WI 53141-2199

4. Sponsor ID

Sponsor ID:

After completing this form, please click Submit Form ONLY ONCE.
(If the Internet is slow, it may take several minutes to register. Please be patient.)
Your information will be transmitted via a secure server to ensure your privacy.

Organization Contact First Name:*
Organization Contact Last Name:*
Organization Name:*
Address Line 1:*
Address Line 2:
City:*
State:*
Country(if outside of USA)*
Zip Code:*
(Area Code) and Phone Number:*
Email Address*:

Select the site license version	Online	Network
Site License Version:*

Expected student registrations	1-50	51-100	101-250	251-500	501-1000	1001-2000+
Registrations:*