SCHEDULE 5 – ORDER FORM

This Order Form is general in nature to suit most procurement. This can be amended to reflect the use of a Quote if required. If required, Customers should edit this Form to reflect their procurement needs with assistance from the Finance Procurement Team.

PART A – CUSTOMER TO COMPLETE:

ORACLE COMMON USE ARRANGEMENT CUA0149312
This Order incorporates the terms of the Department of Finance Oracle Common Use Arrangement CUA0149312.
ORDER INFORMATION
Contact Person for this Quotation
Name:
Title:
Organisation Name:
Telephone:
E-mail:
Payment of Accounts Contact
Name:
Telephone:
E-mail:
Address:
Product Information
E.g.:
Name of Product/s (License/Hardware/Cloud Services) required:
Quantity (if License include Metric, if Cloud Services include duration in months):
Support Renewal Information
Name of Product/s (Support Service Number, if available):
Length of Renewal:

PART B – CONTRACTOR TO COMPLETE (CHANNEL PARTNERS ONLY):

Channel Partner to complete and return to Contact Person specified in Part A Order Information

PART B: CONFIRMATION BY CHANNEL PARTNERS
This Quotation incorporates the terms of the Department of Finance Oracle Common Use Arrangement CUA0149312.
Company Name:
Name of Respondent Contact Person:
Phone: / Email:
Pricing:

Hardware and Hardware Support Services

Item
/ Part Number
/ Hardware Description
/ Quantity
/ List Fee
/ Discount %
/ Net Price
/
Hardware and Hardware Support Fees

Programs and Program Support Services

Product Description/ License Type
/ Quantity
/ List Fee
/ Discount
/ Net Price
/
Programs and Program Support Fees

Other Fees

Other Fees
/
Other Fees

Totals

Fee Description / Total Price
Oracle Hardware Fees
Hardware Support Fees
Program Fees
Program Support Fees
Other Fees
Total Price


PART B – CONTRACTOR TO COMPLETE (ORACLE ONLY):

This Quotation incorporates the terms of the Department of Finance Oracle Common Use Arrangement CUA0149312.

/ ORDERING DOCUMENT
Oracle Corporation Australia Pty Limited
4 Julius Avenue, North Ryde, NSW 2113, Australia
Your Name: / Your Contact:
Your Location: / Phone Number:
Email Address:

Hardware and Hardware Support Services

Item / Part Number / Hardware Description / Quantity / List Fee / Discount % / Net Price /
Hardware and Hardware Support Fees

Programs and Program Support Services

Product Description/ License Type / Quantity / List Fee / Discount / Net Price /
Programs and Program Support Fees

Other Fees

Other Fees /
Other Fees
Fee Description / Net Fee
Oracle Hardware Fees
Hardware Support Fees
Program Fees
Program Support Fees
Other Fees
Total Price
[Insert Customer Name] / Oracle Corporation Australia Pty Limited
ABN/ACN / ABN 80 003 074 468
Signature:
{{*_es_signer1_signature}}
/ Signature:
{{*_es_signer2_signature}}
Name:
{{*_es_signer1_fullname}}
/ Name:
{{*_es_signer2_fullname}}
Title:
{{*_es_signer1_title}}
/ Title:
{{*_es_signer2_title}}
Signature Date:
{{*_es_signer1_date}}
/ Signature Date:
{{*_es_signer2_date}}
Effective Date:
{{*efdate_es_signer2}}
(to be completed by Oracle)