You can send in your order form in either of three ways:
1. Save As text file; then Open the file and fill it in;
then Send the file as an attachment to the *Email on the "Enter" web page; or
2. Print the form, fill it in, and mail it via USPS or;
3. Print the form, fill it in, and Fax the form to 937-236-2113 , then "2".
S T R O N G W A R E O R D E R F O R M
FAX # : ____________________________ Telephone # : ________________________
BILL TO: SHIP TO:
________________________________________ _______________________________________
________________________________________ _______________________________________
________________________________________ _______________________________________
BUYER VERIFICATION SIGNATURE AND DATE: ___________________________________________
PURCHASE ORDER / CHECK / MONEY ORDER # : _________________ DATED: ________________
PLEASE TYPE OR PRINT NAME OF PERSON TO CONTACT: _________________________________
Check __ Money Order __ Amount enclosed: ________ DO NOT SEND CASH.
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I would like to order _____ copies of TRIPLE GOLD EDITION StrongWare of
___________v.___ database and ___________v.__ spreadsheet and
___________v.___ database and ___________v.__ spreadsheet and
___________v.___ database and ___________v.__ spreadsheet @ $ 39.95 : ______
With 20% Discount as non-profit _______________ organization @ $ 31.95 : ______
I would like to order _____ copies of SILVER EDITION StrongWare of
____________v.__ database and ___________v.__ spreadsheet @ $ 34.95 : ______
With 20% Discount as non-profit _______________ organization @ $ 27.95 : ______
I would like to order a BRONZE EDITION ( documentation on disk ) of
_____________v._ database and ___________v.__ spreadsheet @ $ 17.95 : ______
With 20% Discount as non-profit _______________ organization @ $ 12.95 : ______
I would like to order a Group License for _________ users @ $ 9.95 each: ______
With 20% Discount as non-profit _______________ organization @ $ 6.95 : ______
I would like to order ______________v.__ Spreadsheet Pack @ $ 9.95 each: ______
With 20% Discount as non-profit _______________ organization @ $ 6.95 : ______
Shipping and Handling Gold/Silver $4.50 ; Bronze or Spreadsheets $2.05 : ______
Note: Ohio residents must add 6.5 % Ohio State Sales Tax. ____________: ______
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** Call about our $10-A-Month Payment Plan ** TOTAL ORDER: ______
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SAFETY ANALYSIS SYSTEMS CO.
c/o Richard Strong, P. E.
7 5 1 4 Belle Plain Drive
Dayton OH 4 5 4 2 4 - 3 2 2 9