Renewal

To renew your subscription:

Enter your Customer Reference Number and email to retrieve your existing account details.
Review your account details. If they have changed, please update them.
Complete and submit the form, taking care to select your preferred payment method (you can 'Pay Now' online with your credit/debit card, or 'Pay Later' via your financial institution, or by calling us with your credit/debit card details).

Customer Reference Number (CRN) *

Email *

Forgot or lost your details?

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Are you a Suncorp aligned repairer? *

Yes

This information is used only to direct the applicant to the correct licensing agreement.

Suncorp Licence Agreement Terms & Conditions

Thatcham Licence Agreement Terms & Conditions

I have read and accepted the above License Agreement Terms and Conditions *

Yes

escribe Terms of Use

I have read and accepted the above Terms of Use *

Yes

By completing and submitting this order form you are applying for a licence(s) to use the escribe software, governed by terms of the licensing agreement (Licence Agreement) above. If there are any conflicts between the terms of this order form and those of the Licensing Agreement, to the extent of such conflict, the terms of the Licence Agreement prevail.

Please review your details. If they have changed, please update them.

Primary Contact

By completing and submitting this order form, you identify yourself as the Primary Contact for this Site. All correspondence including subscription renewal offers, any changes to the Licence Agreement or other contractual or software issues will be sent to you. It is your responsibility to promptly notify us of any changes to the details you have provided, and for requesting and authorising account information changes and providing access to additional users. You can nominate an alternative Primary Contact by contacting us directly.

First Name *

Last Name *

Email *

Phone Number *

Mobile Phone

Address

Building No./Street Name *

Postcode *

Suburb/Town *

State/Territory *

Country *

Company Name (Trading Name) *

ABN or NZ Company No. *

Please indicate customer type *

Insurer

Repairer

Assessor

Training Organisation

Other

Describe customer type

Important

Unless agreed by us otherwise, you must purchase a primary licence for each site you conduct business from and additional licences for each person to access or use the escribe software from those site(s). Each user's access credentials are unique and cannot be shared with another person. For multi-site organisations, please complete a separate form for each site.

NOTE: A licence is valid for 12 months.

Please indicate the number of licenses you require.

Item

Quantity

Item Cost

GST

Item Total

Primary License

Number

Cost

GST

Item Total

Additional License

Number

Cost per license

GST

Cost

Total Cost ($AUD)

Sub-total

Total GST

Total Cost

Where did you hear about escribe? *

Other Lead Source

By submitting this form you warrant that the information provided above is correct. *

Yes

The current expiry date for your subscription is

Your new expiry date will be

Payment Type *

Pay Now using your Credit Card

Pay Later using Bpay or by Electronic Bank Transfer