This sign up form should be completed by a representative of the company/organisation responsible for the cost of the licence fee for the Intelligent Play or Genius system at the facility you enter in the Project Details section below.

Project Details

Facility Name *

Field Name (optional)

Billing Details

Billing Contact First Name *

Billing Contact Last Name *

Billing Contact Telephone Number *

Billing Contact Email Address *

Billing Company Name *

Billing Company Address *

City *

Postcode *

Billing Country *

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Facility Admin

The Facility Admin is the person at the facility who will be responsible for the system once it has been installed. If the Facility Admin is different to the Billing Contact listed above, please check the box and enter their details. They will be contacted once sign up is complete to provide a list of any additional users who will also require dashboard access for the facility.

Tick if Facility Admin Contact is different to Billing Contact.

Licence Agreement

DATE: 06/06/2023

To continue with your Sign Up for Intelligent Play, please ensure all the info you have entered in the form above is correct and please check the box before you click Submit. *

As a representative of the company named in the form above, I confirm that we have read and understood the terms of the Licence Agreement and Privacy Policy for Intelligent Play. A full copy of the Licence Agreement is available here. *

Our Privacy Policy is available here.

Your Subscription

Product	Total
Custom Licence 1 (5 Year) × 1	£ 2,400.00
Subtotal	£ 2,400.00
Total	£ 2,400.00

Credit Card (Stripe)

Pay with your credit card via Stripe.

Credit or debit card
Direct bank transfer

By selecting this payment method, an invoice will be issued for the full amount of this licence fee.

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