CliniClue Xploit Order Form

To order CliniClue Xploit please complete the details below and click submit.

Orders made using this form are provisional. No payment will be requested during the submission process. When we receive the order we will send you a formal quotation based on the list price for CliniClue Xploit (£1,750 GBP) and any relevant taxes. We will also offer you a choice of payment methods (Google checkout or bank transfer). When you confirm your order, accept the licence terms and arrange payment we will be delighted to supply you with a licence for CliniClue Xploit. This comes complete with the services described on the [[http://www.cliniclue.com/cliniclue_xploit|product page]]. Completing the form below indicates your intent to proceed but but not create an obligation on either party until the order has been confirmed as described above.

First name	Last name		Title
E-mail
Organisation		Job Title

Address			Phone
			Fax
Town/City
County/State			Note that you must be an IHTSDO Affiliate licensee in order to have access to SNOMED CT through the add-on options provided by CliniClue Xploit and/or CliniClue Xtra. We reserve the right to decline orders unless we are able to verify your IHTSDO Affiliate status
Postcode or Zip
Country

CliniClue is a Registered Trademark of the Clinical Information Consultancy Ltd
SNOMED, SNOMED Clinical Terms and SNOMED CTare Registered Trademarks of the International Health Terminology Standards Development Organisation