S&S Software Order Form

S&S Software Order Form

Bill To:	Ship To: (If different from "Bill To")
`Name:_________________________________________ Address:______________________________________ City:_______________________ State:___________ Country:_____________________Zip:_____________` `Phone/Email:__________________________________`	`Name:_________________________________________ Address:______________________________________ City:_______________________ State:___________ Country:_____________________Zip:_____________` `Phone/Email:__________________________________`

Product	Quantity
Item	Description	Windows	Mac68k	MacPPC	MacOSX	Unit Price	Total Price
001	Whole Number Arithmetic				NA	$49.95 (U.S.)
002	Talking Arithmetic Tutor				NA	$19.95 (U.S.)
003	Count Money		NA	NA	NA	$19.95 (U.S.)
004	Make Change		NA	NA	NA	$29.95 (U.S.)
005	Worksheet Generator (Ver. 1)	NA			NA	$19.95 (U.S.)
006	Whole Number Worksheet Generator (Ver. 2)		NA	NA		$29.95 (U.S.)
007	Decimal Worksheet Generator		NA	NA		$29.95 (U.S.)
008	Fraction Worksheet Generator		NA	NA		$29.95 (U.S.)
009	Worksheet Generator Bundle		NA	NA		$59.95 (U.S.)
010	Class Manager		NA	NA	NA	$99.95 (U.S.)
011	Class Manager Bundle		NA	NA	NA	$159.95 (U.S.)
		Subtotal:
		Tax (AZ residents) 5.5% of Subtotal:
		Shipping & Handling 10% of Subtotal:
	TOTAL:

Payment Method (please check one):
____Check / Money Order enclosed (Payable to S&S Software in U.S. Dollars)
____VISA ____MasterCard ____Am. Express ____Discover	`Credit Card Number:______________________________________Expires:____/____ Print Name As Shown On Card:______________________________________________` `Signature:________________________________________________________________`
____Purchase Order	`P.O. Number:____________________________________________________` `Authorized Signature:___________________________________________ (if purchase order is not attached)`

Order by Mail: Print this form and send it to S&S Software, 5181 S. GoldRush Rd., Willcox, Arizona 85643
Order By Fax: Print this form and fax it to 1-520-384-3844.
Order By Phone: Call toll free 1-877-384-3844 with the above information. (Office phone hours: 10am - 4pm PST, Monday - Friday)