AutoCAD Checklist Escon

Customer Information Form
AUTODESK SUBSCRIPTION
SUBSCRIPTIONS
AUTODESK IS WILLING TO GRANT SUBSCRIPTIONS TO YOU ONLY ON THE CONDITION THAT YOU ACCEPT THE AUTODESK
SUBSCRIPTION TERMS AND CONDITIONS, AVAILABLE FOR YOUR REVIEW ON THE AUTODESK SUBSCRIPTION CENTER
(http://www.autodesk.com/subscriptionlogin). BY PLACING YOUR ORDER FOR AUTODESK SUBSCRIPTION, YOU, IF YOU ARE AN
INDIVIDUAL, OR YOUR ORGANIZATION, IF YOU ARE PURCHASING ON BEHALF OF AN ORGANIZATION, ARE AGREEING TO BE BOUND BY
THE AUTODESK SUBSCRIPTION TERMS AND CONDITIONS. IF YOU DO NOT WISH TO BE BOUND BY THESE TERMS AND CONDITIONS,
YOU MUST NOTIFY AUTODESK OR THE AUTODESK RESELLER FROM WHOM YOU PURCHASED AUTODESK SUBSCRIPTION IN WRITING
WITHIN THIRTY (30) DAYS OF THE EFFECTIVE DATE OF YOUR SUBSCRIPTION. IF YOU PROVIDE WRITTEN NOTICE WITHIN THE THIRTY
(30) DAY TIME PERIOD, YOUR AUTODESK SUBSCRIPTION ORDER WILL BE CANCELED AND YOU MAY NOT AVAIL YOURSELF OF ANY OF
THE AUTODESK SUBSCRIPTION BENEFITS AND MUST EITHER RETURN OR DESTROY ANY BENEFITS THAT YOU MAY HAVE RECEIVED OR
DOWNLOADED. IF YOUR WRITTEN NOTICE IS NOT RECEIVED WITHIN THE THIRTY (30) DAY TIME PERIOD, YOU AND YOUR ORGANIZATION
ARE DEEMED TO HAVE ACCEPTED THE AUTODESK SUBSCRIPTION TERMS AND CONDITIONS.
 A copy of the Terms and Conditions may be obtained from your Autodesk or Discreet Reseller or downloaded from Autodesk on the following websites :
English : www.autodesk.com/subscriptionlogin
Korean : www.autodesk.co.kr/subscriptionlogin
Traditional Chinese : www.autodesk.com.tw/subscriptionlogin
or Discreet www.discreet.com/subscription.
 Please note: Email addresses will be used for subscription program communications such as renewal and fulfillment notices. They will not be used for
marketing purposes.
 PRIVACY DISCLOSURE. The information that you provide in this form will be used by Autodesk for purposes connected with the fulfillment of your
Subscriptions contract. Autodesk may provide access of your information to our outsourced vendors and authorized partners (including your identified
Supporting Reseller) for the purposes of servicing the requirements of your Subscriptions contract. Should you wish to update your information, please
contact Autodesk at ap.subscriptions@autodesk.com.
 *Information is mandatory
I. Customer Information
*Company Name: ESCON GENSETS PVT. LTD.
Alternate Company Name:
(Optional)
*Address 1: # 31, 6th 'B' Main, ih Cross, *City: Bangalore
*Address 2: HM T Layout , R.T. Nagar, *State/Province:
Address 3: *ZIP/Postal Code: *Country: India
*Phone No.: 560032. Fax#:
Contract Manager: Receives Renewal notifications and is the primary contact for contract communications.
*First Name: Dhandapani R *Last name:
Alternate First Name: Alternate Last Name:

(Optional) (Optional)
*Email address: daniram@escongensets.com Department :
Position: *Language: English
*Mobile No.: 9980343854 Fax#:
Software Coordinator: Receives extension and software upgrade notices and product shipments. Also the primary
contact for any web support associated with the contract. A contract can have more than 1 Software Coordinator.
Please indicate if there is more than 1 shipping location. Support is not available for Discreet.
The address input here will be the location that fulfillments are shipped to. Please contact your reseller or
ap.subscriptions@autodesk.com with any questions.
 Autodesk subscription – The Contract Manager must designate the Software Coordinator for each contract and/or group. This
functionality is accessed via the Autodesk Subscription Centre.
 *Check this box if a company detail is the same for both Contract Manager and Software Coordinator.
*Company Name:
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Customer Information Form
Alternate Company Name:
(Optional)
*Address 1: *City:
*Address 2: *State/Province:
Address 3: *ZIP/Postal Code: *Country:
*First Name: *Last name:

Alternate First Name: Alternate Last Name:
(Optional) (Optional)
*Email address: Department
Position: *Language:
*Phone#: Ext: Fax#:
**Email addresses will be used for subscription program communications such as renewal and fulfillment notices. All program eMail
communication will be in HTML format.
II. Ordering Information

Autodesk Partner Purchase Order no: Date of Application:
Please check the following, using this symbol 
Create a New Contract ->  1 Year  2 Year  3 Year
 Add to an Existing Contract  Renew an Exisiting Contract  Add Web Support to an Existing Contract
III. Contract Information

Contract Number:
Upon creating a new contract designate which serial number should be used as the contract number.
Please indicate a group name below to organize your contracts; if you would like to add on to an existing group, you may
indicate the existing group name.
OLD SN for: Group Name –

NEW Serial UG / CG/ Network QTY Group ID NETWORK OR
Description (# of Seats)
Number NLA (required for Add STANDALONE
on)
AutoCAD LT 2023
Commercial New Single-
user Annual
057O1-WW6525-L347 1 daniram@escongense
Subscription
ts.com
Subscription
 Check if Serial Number is required from Autodesk.

 Check if additional form is used
IV. Supporting Reseller Information:

Company Name: LDS Infotech Pvt Ltd. Autodesk Account#: 5107768673
Contact Name: Mr. Amarnath Shetty

Contact Email Address: alshetty@ldsinfotech.com
Important Notes:1. All fields are restricted to 35 English alphanumeric characters or 17 non-English (Korean,
Traditional Chinese, Japanese) characters.
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Customer Information Form

Address 1: # 31, 6th 'B' Main, ih Cross, City: Bangalore

Address 2: HM T Layout , R.T. Nagar, State/Province:

Address 3: ZIP/Postal Code: Country: India

*Phone No.: 560032. Fax#:

Alternate First Name: Alternate Last Name:

*Mobile No.: 9980343854 Fax#:

Address 3: ZIP/Postal Code: Country:

First Name: Last name:

*Phone#: Ext: Fax#:

II. Ordering Information

III. Contract Information

OLD SN for: Group Name –

 Check if Serial Number is required from Autodesk.

IV. Supporting Reseller Information:

Contact Name: Mr. Amarnath Shetty

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