16213 Congo Lane, Jersey Village, TX 77040
phone 832-467-1998
e-mail: George@Crowl.org
For print-out only; this is not an electronic form.
Name ______________________________________________________________________
Institution (if applicable) _______________________________________________________
Street Address ________________________________________________________________
City/state/zip ________________________________________________________________
Phone ____________________________ e-mail address _____________________________
Method of payment: Check _______ Money order _______ Purchase order _____________
Purchase order number _________________________________________________________
Retail price, 1-5 copies - $30.00 ea.
Retail discount, 6-9 copies - $25.00 ea.
Retail discount, 10+ copies - $20.00 ea.
License price $30.00 for the first copy
$15.00 for each additional machine licensed
If stored on a central access machine with multiple access, $15.00 for each allowable access.
I.e., with 500 machines, but a limit of any ten machines simultaneously using the
CD, the license price is $165.
Wholesale price - $15.00 Tax ID #____________________________
(Must be reselling to the public, students, etc.)
Quantity_________ Total: $___________
Discount, if any (see discount rate below): $___________
Texas residents add 8% sales tax: $___________
Shipping & handling*: $___________
Total: $___________
Classroom examination copies may be obtained at a 50% discount. If the title is then adopted for the class, this will be refunded upon request.
*Shipping and handling is free for individual orders within the U. S. and Canada. Overseas and multiple copies: $5.