Order intellibot™ Chatbot Compulsory fields are marked with an *Items Schedule The Items Schedule forms part of and is to be read in conjunction with the Service Agreement (Terms & Conditions).Item 1 Full legal name of the business owner(s) and/or trustee(s)Full Legal Name of Business(Required)Business Type(Required)Select Business Type*Sole TraderPartnershipCorporationTrustNot for ProfitRegsistration No. or ABN(Required)Trading Name (if applicable)Address(Required) Street Address Line 1 Street Address Line 2 Suburb State/Territory Postcode Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Item 2 Nominated Contact This is the person within your business who will assume sole responsibility for communicating with us.Nominated Contact Name(Required) First Last Nominated Contact Email(Required) Enter Email Confirm Email Nominated Contact Mobile(Required)Item 3 The Work to be performed Work pursuant to the Monthly Service Packages or Prepaid Service Packages selected by the Client together with all other services deemed necessary by the Company to adequately perform the work.Item 4 The Fees The Monthly Fees for the Minimum Term pursuant to Paragraph 4.3 and/or the Prepaid Fees pursuant to Paragraph 4.4 of the Service Agreement (Terms & Conditions).Payment Options(Required)Payment Options* I want to pay in equal monthly installments I want to pre-pay 12 months and save 15% + Select an intellibot™ package (M)(Required)Select an intellibot™ package* intellibot Warrior - $999 setup + $269 monthly x 12 intellibot Prodigy - $3,999 setup + $399 monthly x 12 intellibot Marvel - $6,999 setup + $699 monthly x 12 Select an intellibot™ package (P)(Required)Select an intellibot™ package* intellibot Warrior - $999 setup + $2,690 annually intellibot Prodigy - $3,999 setup + $3,990 annually intellibot Marvel - $6,999 setup + $6,990 annually Congratulations! Your $999 Setup Fee has been waivedintellibot Prodigy Set Up Fee(Required)intellibot™ Prodigy Set Up Fee Price: intellibot Marvel Set Up Fee(Required)intellibot™ Marvel Set Up Fee Price: intellibot Warrior Monthly Fee(Required)intellibot™ Warrior Monthly Fee Price: intellibot Warrior Prepaid Annual Fee(Required)intellibot™ Warrior Prepaid Annual Fee Price: intellibot Prodigy Monthly Fee(Required)intellibot™ Prodigy Monthly Fee Price: intellibot Prodigy Prepaid Annual Fee(Required)intellibot™ Prodigy Prepaid Annual Fee Price: intellibot Marvel Monthly Fee(Required)intellibot™ Marvel Monthly Fee Price: intellibot Marvel Prepaid Annual Fee(Required)intellibot™ Marvel Prepaid Annual Fee Price: Declaration I/We the person(s) named in Item 1 confirm that the information provided by me/us to the Company is accurate and complete and hereby acknowledge having read the Service Agreement (Terms & Conditions) which together with this Items Schedule forms the entire basis of the agreement between me/us and the Company.Total Payable Today Credit CardCard Details Cardholder Name When you click on AGREE & PAY NOW your payment will be processed by Stripe without leaving the page. It may take a minute or so to process the payment - so please be patient and just hang in there!
