Carestream Address Wiltron House, Meadway Tech.

Park
Stevenage, HT SG1 2EF

Contact Name . apinvoices@mpft.nhs.uk Prepared By Audrey Doyle

Email apinvoices@mpft.nhs.uk Phone +14705486076
Email audrey.doyle@csdental.com

Bill To Name STAFF & STOKE ON TRENT PTN NHS TST Quote Number 00000292
Bill To PHOENIX HOUSE, TOPCLIFF LANE Created Date 10/27/2022
WAKEFIELD, WY WF3 1WE Expiration Date 11/18/2022
GB

Quote Quote List Quote Sales Quote Quote Quote Total

Line Item Description
Product Price Price Quantity Discount Price

UP TO 100GB ONLINE BACKUP &

1759179 GBP 0.01 GBP 0.00 1.00 0.00 GBP 0.00
RECOVERY

External Quote Total List Price GBP 0.01

Notes Monthly payments of £59+vat are required for
Effective Discount 100.00%
this contract
Quote Subtotal GBP 0.00

Acceptance is subject to Carestream Dental's Terms and Conditions. Tax GBP 0.00
The quotation is valid for 7 days. Shipping and GBP 0.00
Handling
Quote Grand Total GBP 0.00

Maintenance
Items in the section below may carry additional monthly maintenance fees as indicated.

Monthly Maintenance
Product Code Line Item Description Monthly Maint Price frm Quantity Total Maintenance

1759179 UP TO 100GB ONLINE BACKUP & RECOVERY GBP 59.00 1.00 GBP 59.00

Maintenance Totals

  Total Maintenance GBP 59.00

Quote Currency GBP

Payment, Acceptance and Authorization

Additional requirements:
[ ] I/We confirm that we have read Carestream Dental's Terms and Conditions of Business and agree to abide by them and that this
Order shall be governed by them. The Order placed may be subject to amendments following a site survey by a Carestream Dental
Engineer, and if a site survey is required the order will not be accepted by Carestream Dental until any such amendments have been
agreed with me (the Customer).

This Order when signed by the customer and accepted by Carestream Dental shall, together with Carestream Dental's Terms and
Conditions of Business, constitute a legally binding contract.

Please indicate the method of payment for this order

  Registered in England No 3950696

 Carestream Address Wiltron House, Meadway Tech. Park
Stevenage, HT SG1 2EF

Cash/BACS/Credit card payments accepted. Lease Purchase Please state name of leasing company if
known -

Cleared funds for the full cost of your order must be received by
Carestream Dental Ltd 3 working days prior to the agreed installation Non Payment from the finance company will result in invoice to the
date. customer - payment due immediately.
Signed Date

_________________________________________________________________
_____________________________________________
Print Name Position

________________________________________________________________
_______________________________________________

Please indicate the method of support payment for this order

Cash/BACS/Credit card (Annual basis) Support Declined
Direct Debit (Monthly basis) - Please complete a Direct Debit
mandate form

Please indicate the level of cover required

I/We agree the Software maintenance costs Agree Disagree
I/We agree the Hardware maintenance costs Agree Disagree
Signed Dated

__________________________________________________________ ________________________________________
Duly authorised to sign on behalf of the Customer

Key Person
Please state the name of a key person at your practice that will
co-ordinate your installation Position
Name _______________________________________________
______________________________________________________

  Registered in England No 3950696