Activating STARFIRE Position Receiver - StellarSupport - John Deere

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1. Business and personal information ( * Required Information)
* Company Name: ____________________________________________________
* VAT Number:
If you have a VAT Number please enter it as it is required for tax purposes.
* Last Name: _____________________ ______ * First Name: ________________________________
* Address: ___________________________________________________________________________
____________________________________________________________________________________
* City: _________________________________ * Zip Code: ___________________________________
* Country: ______________________________ * Telecopy Number: ____________________________
* Phone Number: ________________________ * E-Mail: _____________________________________
If you have a Stellar Support or JDparts User Name (or Identification) please provide it below.
If you do not have a profile you can create one on www.stellarsupport.com or one will be created for
you.
* User Name (or Identification): __________________
2. Product and ordering details (Enter Serial No. of Receiver and check duration)
* StarFire iTC or StarFire Receiver Serial Number:
Check
App.box
* Please choose one of the two starting times:
Notes:
1
Month
2
Months
3
Months
4
Months
Page 1
5
Months
(Prices do not include Tax)
Immediate activation upon receipt of payment (only available via Credit Card Payment)
The StarFire iTC comes with an SF1 license already activated.
6
Months
12
Months
24
Months
Please read terms of payment, choose payment option and enter subsequent info (Next page).
36
Months
SF2 180 € 310 € 440 € 570 € 700 € 750 € 1000 € 1750 € 2475 €

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* StarFire or StarFire iTC Receiver Serial Number: ( * Required Information )
(Please enter the no. again)
Terms of Payment:
Sale is final after receipt of payment of the invoice / order is confirmed in full and without bank charges for
John Deere. For this order the General Terms and Conditions of John Deere shall apply.
Privacy:
I acknowledge and agree to the terms that the data contained in this form is stored by John Deere only for
payment processing and only for the duration of the contractual arrangement. The information will not be
shared with any third party or external group.
For any questions or concerns in connection with storage of data please contact John Deere Werke
Zweibrücken (please see previous address and phone number)
Option A: Bank Transfer Payment.
If you choose bank Transfer Payment please be aware that activation will only take place
after payment of the invoice!
For quicker activation please use Credit Card payment!
* Signature: _______________________________________
Option B: Credit Card Payment.
* Credit Card Type: VISA
* Credit Card Number:
MASTERCARD
* Name of Cardholder (as shown on Card): ___________________________________________________
* Address : ____________________________________________________________________________
_____________________________________________________________________________________
* City: ____________________________ * Zip Code: ________________________________________
* Country: _____________________________
* Credit card Expiry Date:_____/_____ ( MM/YY )
* Credit Card Verification number: (last 3 digits on back of the card )
* Signature of Cardholder: ______________________
IMPORTANT: Both pages need to be faxed to the TELECOPY 1: +49 (0) 6332 79 3098
or TELECOPY 2: +49 (0) 6332 79 3099
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