Fast Order Form - Fax to 1 919 386 1035

Print this page, complete the information in the blocks below, and fax this form to Scientific & Educational Software to order software using your credit card or an institute purchase order.

Your Name and Address for Shipping

Name	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Organization	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Address	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
City	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
State + Zip or Country + Post Code	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Telephone	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Email	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Programs Ordered and Method of Payment

Description	Catalog #	Price
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _	_ _ _ _ _	_ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _	Shipping *	_ _ _ _ _
	Total	_ _ _ _ _


[ ] VISA	[ ] MasterCard	[ ] Purchase Order (please attach)

Credit Card #	_ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _ Exp Date _ _ - _ _
Name on card	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ * CVC _ _ _
Signature	_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

* Additional information: Shipping charges US: Fed Ex economy service or Priority Mail service, please add $15; International: please add $25 for individual user licenses, $50 for multi-user licenses. NC residents, please add state/county sales tax. To enclose payment with your order, please include a check in US dollars drawn on any US bank and mail to Scientific & Educational Software, 600 Pinner Weald Way Ste 202, Cary, NC 27513 USA. All duties and taxes (including GST or VAT) are the responsibility of the buyer. For credit card purchases, your credit card will not be charged until we ship your order. The three-digit CVC (Card Validation Code) is usually printed in the credit card signature panel. We accept returns for replacement for products damaged in shipping if returned within 30 days of purchase, or returns within 30 days of purchase of unopened products in saleable condition, subject to a 12% restocking fee.