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ORDER FORM

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(Print this order form and mail or fax it to H & H Servicco Corp. at the address below.)

Ship To: Bill To:
Name __________________________________ __________________________________
Title __________________________________ __________________________________
Company __________________________________ __________________________________
Division __________________________________ __________________________________
Address __________________________________ __________________________________
City/St/Zip __________________________________ __________________________________
Phone __________________________________ __________________________________
Fax __________________________________ __________________________________
Windows Version:  3.1,  95,   98,  NT,  ME,  2000, XP ______

 

Program/Version Price Quantity Amount
(US Dollars)
Sampling for Attributes: TP105 1.22 $245.00

______

$________________
Sampling for Variables: TP414 1.22 $245.00 ______ $________________
Sampling for Reliability: TP781 1.22 $245.00 ______ $________________
Audit Sample Planner: ASP 1.26 $245.00 ______ $________________
Tool for Ac=0 Sampling Plans TPZero 3.0 $50.00* ______ $________________
SOFTWARE TOTAL: $________________

 

ADJUSTMENTS:

SOFTWARE TOTAL: (From above)     $ (_____________)
MULTIPLE PROGRAM DISCOUNT: Subtract $50 for 2, $125 for 3 , $200 for 4 programs:   - $ (_____________)
 * (Discount does not apply to TPZero. Its $50 is refunded if you upgrade TPZero to TP105)

DISCOUNTED SOFTWARE TOTAL:

    $ ______________
TAX: ...Minnesota customers only, add 6.5% of discounted software total: + $ ______________
SHIPPING & HANDLING: Add $10.00 for each package in USA, $15.00  international: + $ ______________

TOTAL: PAY THIS AMOUNT:

    $ ______________

 

PAYMENT TYPE:

Purchase Order PO#_______________________ (Terms: 10 day net.)
Company or Personal check CK# _______________________
VISA___  Master___ Amer Expr___      # _______________________ Name on card: ______________________
Expiration date: _____________________

 

Order by Fax, Telephone, or Mail:

H & H Servicco Corp. Phone: (651) 777-0152
PO Box 9340 FAX: (651) 777-0152
No. St. Paul, MN 55109-0340 E-mail: sales@samplingplans.com