Raw Score for this Application:  out of  - % <br /><br/>Q1.  This Form is Used to Setup Clients for Transactional Billing  <br/><br />Q2. Type of Client  <br/><br />Q3. Client Setup: Please select from below:  <br/> <br/>
      <br />Q4.  Include Transaction Charges  <br/><input type="radio" id="3041" value="3041" name="42" checked=""> <label for="3041">  Yes  </label><br />
    <input type="radio" id="3042" value="3042" name="42" checked=""> <label for="3042">  No  </label><br />
    <br />Q5. Total Number of Transactions:  <br/> <br/>
      <br />Q6. Rate per Transaction Amount  <br/> <br/>
      <br />Q7.  Total Transactions  <br/> <br/>
      <br />Q8. Include Storage Charges  <br/><input type="radio" id="3043" value="3043" name="43" checked=""> <label for="3043">  Yes  </label><br />
    <input type="radio" id="3044" value="3044" name="43" checked=""> <label for="3044">  No  </label><br />
    <br />Q9.  Rate per MB Storage:  <br/> <br/>
      <br />Q10.  Storage Amount  <br/> <br/>
      <br />Q11.  Bandwidth Rate per Month MB/hr:  <br/> <br/>
      <br />Q12.  Total Bandwidth  <br/> <br/>
      <br />Q13.  Months Billed  <br/> <br/>
      <br />Q14. Billing Start:  <br/> <br/>
      <br />Q15. Billing End:  <br/> <br/>
      <br />Q16.  Include Seat/User Charges  <br/><input type="radio" id="2998" value="2998" name="8" checked=""> <label for="2998">  Yes  </label><br />
    <input type="radio" id="2999" value="2999" name="8" checked=""> <label for="2999">  No  </label><br />
    <br />Q17.    Charges: Additional named Users: 0-500  <br/> <br/>
      <br />Q18.   Additional named Users: 0-500  <br/> <br/>
      <br />Q19.    Charges: Additional named Users: 501-750  <br/> <br/>
      <br />Q20.   Additional named Users: 501-750  <br/> <br/>
      <br />Q21.   Charges: Additional named Users: 751-1000  <br/> <br/>
      <br />Q22.   Additional named Users: 751-1000  <br/> <br/>
      <br />Q23. Included App Hosting  <br/><input type="radio" id="3003" value="3003" name="12" checked=""> <label for="3003">  Yes  </label><br />
    <input type="radio" id="3004" value="3004" name="12" checked=""> <label for="3004">  No  </label><br />
    <br />Q24.   Name of Apps Supported  <br/>
                   
        <br /><br />Q25.  Price per App per month  <br/> <br/>
      <br />Q26.  Number of Apps Supported  <br/> <br/>
      <br />Q27.  Include Development Charges  <br/><input type="radio" id="3007" value="3007" name="15" checked=""> <label for="3007">  Yes  </label><br />
    <input type="radio" id="3008" value="3008" name="15" checked=""> <label for="3008">  No  </label><br />
    <br />Q28.  Level 1 Coding & Testing  <br/> <br/>
      <br />Q29.  Hours: Level 1 Coding & Testing  <br/> <br/>
      <br />Q30.   Level 1 Database Integration, Report Generation, Maintenance  <br/> <br/>
      <br />Q31.   Hours:  Level 1 Database Integration, Report Generation, Maintenance  <br/> <br/>
      <br />Q32.   Level 2 Database Design, Report Generation, Maintenance   <br/> <br/>
      <br />Q33. Hours: Level 2 Database Design, Report Generation, Testing   <br/> <br/>
      <br />Q34.  Level 3 Module Development, Testing   <br/> <br/>
      <br />Q35.  Hours: Level 3 Module Development, Testing   <br/> <br/>
      <br />Q36.  Additional Resources: Graphic Design, Research  <br/> <br/>
      <br />Q37. Hours: Additional Resources: Graphic Design, Research  <br/> <br/>
      <br />Q38. Description of Additional Charges  <br/>
                   
        <br /><br />Q39.  Additional Charges  <br/> <br/>
      <br />Q40.  Discounts (% off or amount )  <br/> <br/>
      <br />Q41.  Terms:  <br/> <br/>
      <br />Q42.  Remit Payment to:   <br/> <br/>
      <br />Q43.  Additional Information:  <br/> <br/>
      <br />Q44. Notes:  <br/>
                   
        <br /><br />Q45.   Total (Calculated Upon Saving Form)  <br/> <br/>
      <br />Q46. Date Invoice Sent  <br/> <br/>
      <br />Q47. Date Paid: (YYYY-MM-DD)  <br/> <br/>
      <br />Q48. Amount Paid (No $)  <br/> <br/>
      <br />Q49. Gallium Recovery Rate (Calculated)  <br/> <br/>
      <br />Q50. Reported Recovery Rate:  <br/> <br/>
      <br />Q51. Account Comments:  <br/>
                   
        <br /><br />