Symantec Enterprise Store

Purchase Order Application

Applying for a Symantec Store account takes only a few simple steps. You�ll be asked to supply essential information about yourself (the authorized purchaser) and your organization.

Symantec Store purchase order accounts are available only to qualifying companies, government agencies, and educational institutions, not to individuals. A $500 minimum order is required for each purchase, and a $15 service fee will be applied to each order.

1. About You

2. Your Business

3. Shipping Info

4. Confirmation

About You

Authorized Purchaser First Name:
Authorized Purchaser Last Name:
Authorized Purchaser Title:
Authorized Purchaser Department/Unit:
Preferred Login (no spaces):
Preferred Password (Remember your password!):
Verify Preferred Password:
Security Question and Answer (used to retrieve your password):
Credit Amount Requested* (digits only):

Your Business

Dunns Number (digits only): Enter NA if Not Applicable
Other Credit Rating Info: Enter NA if Not Applicable
Tax ID: Enter NA if Not Applicable
Company/Govt Agency/Institution Name:
Company Address:
Suite/Department:
City:
State:
Company Country:
Zip Code:
Phone Number:
Fax Number:
E-Mail Address:

Shipping Info

Ship To Company Name:
Ship To First Name:
Ship To Last Name:
Ship To Address:
Ship To Suite/Department:
Ship To City:
Ship To State:
Ship To Country:
Ship To Zip Code:
Ship To Phone Number:
Ship To Fax Number:
Ship To Email Address:

By submitting this form, I hereby acknowledge that I am authorized to make purchases for the above referenced company.

Please print a copy of this form for your records. Thank you for your interest in Symantec Store.

All payments please remit to:
Digital River, Inc.
Attn:AR - PO Department
9625 West 76th Street, Suite 150
Eden Prairie, MN 55344