Sales Order Form Thank you for choosing the GeoShepard™ Automation Solution. Please use this form to place the order for GeoShepard products and services for your customers. If you have any questions, please don't hesitate to contact us: info@geoshepard.com Call us at 720-275-0556 Sales Rep InfoSales Rep Name* First Last Sales Rep Cell Phone*Sales Rep Work Phone(Optional)Sales Rep Email* Customer DetailsBusiness Name*Customer POC Name* First Last Customer POC Cell Phone*Customer POC Email* Business Address (for shipping)* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Business Website(optional) Compliance System InformationState Mandated CTS*What is the Cannabis Tracking System required by the state for this business? METRC Other metrc API keys*Which states are you in? (select all that apply) MO coming soon... AK CA CO D.C. LA MA MD ME MI MT NV OH OR Alaska metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) California metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Colorado metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) D.C. metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Lousiana metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Massachusetts metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Maryland metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) Maine metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) Michigan metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Montana metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Nevada metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Ohio metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.)Oregon metrc API KeyFor GeoShepard to work, please provide your metrc API key that has admin privileges. (To do this, simply log into metrc and select generate API key under your username. Then paste the API key below.) Other?Please tell us what CTS you are using. (Please note the customer will need to use GeoShepard Lite to generate spreadsheets for upload to this CTS.)GeoShepard Software TierSelect the TierSelect the Software Service Tier the Customer is signing up for. (Tiers are based on number of mature plants in veg & flowering stage. Not immature plant batches.)Tier 1 (1-800 Plants): 3 Month SubscriptionTier 1 (1-800 Plants): 6 Month SubscriptionTier 1 (1-800 Plants): 12 Month SubscriptionTier 2 (801-3,600 Plants): 3 Month SubscriptionTier 2 (801-3,600 Plants): 6 Month SubscriptionTier 2 (801-3,600 Plants): 12 Month SubscriptionTier 3 (3,601-10,000 Plants): 3 Month SubscriptionTier 3 (3,601-10,000 Plants): 6 Month SubscriptionTier 3 (3,601-10,000 Plants): 12 Month SubscriptionTier 4 (10,001-50,000 Plants): 3 Month SubscriptionTier 4 (10,001-50,000 Plants): 6 Month SubscriptionTier 4 (10,001-50,000 Plants): 12 Month SubscriptionCustom Tier (Over 50,000 Plants)Please Note: Custom Tiers which are over 50,000 plants will need to be negotiated with GeoShepard and Akerna. A GeoShepard representative will call to work out the details. GeoShepard HardwarePlease Select the Hardware to be ShippedGeoShepard Hardware BundlesIs the Customer purchasing a bundle? GeoScale Bundle (GeoScale & GeoRack) GeoScale Premium Bundle (GeoScale, GeoRack, & Scale Cover) GeoScale Speed Bundle (GeoScale, GeoRack, & Barcode Scanner) GeoShepard HardwareIf the customer is not purchasing a bundle, please select the hardware they are purchasing à la carte GeoScale GeoRack GeoMETRC Barcode Scanner GeoScale SizeWhat size scale(s) is the customer purchasing?GeoScale - 6 lbGeoScale - 15 lbGeoScale - 30 lbGeoScale - 60 lbModel #: R31P3 Maximum Capacity: 6 lb (3 kg) Readability: 0.0002 lb (0.1 g) Readability (Certified): 0.002 lb (1 g) Model #: R31P6 Maximum Capacity: 15 lb (6 kg) Readability: 0.0005 lb (0.2 g) Readability (Certified): 0.005 lb (2 g) Model #: R31P15 Maximum Capacity: 30 lb (15 kg) Readability: 0.001 lb (0.5 g) Readability (Certified): 0.01 lb (5 g) Model #: R31P30 Maximum Capacity: 60 lb (30 kg) Readability: 0.002 lb (1 g) Readability (Certified): 0.02 lb (10 g) Number of GeoShepard BundlesHow many GeoShepard Bundles is the customer ordering?12345Number of GeoShepard Premium BundlesHow many GeoShepard Premium Bundles is the customer ordering?12345Number of GeoShepard Speed BundlesHow many GeoShepard Speed Bundles is the customer ordering?12345Number of GeoScalesHow many GeoScales is the customer ordering?12345Number of GeoRacksHow many GeoRacks is the customer ordering?12345Number of GeoMETRC Barcode ScannersHow many Barcode Scanners is the customer ordering?12345NotesEnter special instructions or notesCAPTCHA
