|
Phone 800.560.5670 |
|
Bill To: (please print) |
Ship To: (if different from bill to) |
| Name: | Name: | ||
| Title: | Title: | ||
| Organization: | Organization: | ||
| Address: | Address: | ||
| City: | State: | City: | State: |
| Zip: | Country: | Zip: | Country: |
| Phone: | Fax: | Phone: | Fax: |
| Email: | Email: | ||
Platform: Windows
Contains: AssessMath! CD-ROM including 1,000 items with backup, and User's Guide
Windows Requirements: Pentium Computer, Windows 95 (or higher)
|
Product #
|
Description
|
Qty
|
Price
|
Total
|
| 160-000-web | stand-alone version | $99.00 |
||
Subtotal |
||||
Shipping/Handling |
||||
CA sales tax |
||||
Total |
| Payment Options: | Check enclosed |  |
Bill me (enclose purchase order) | |
| Visa | |
MC | |
Am Ex | |
Discover | |
Card # | |
Ex Date | |
| Card Member Signature | |
| Shipping & Handling: 8% for orders to $250 ($5.00 minimum) 5% for orders $251-$4,999 3% for orders over $5,000 |
Expedited / Foreign Shipping: Add $10 for Expedited Delivery Add $10 for Canadian Delivery Add $30 for International Delivery |