ScienceWorks Product Order Form
Print and complete this form and mail with check or money order to:
(we also accept approved School Purchase Orders)
or you may Buy it online now with your credit card on our secure server.
ScienceWorks, Inc., 808 Retford Circle, Winston-Salem, NC 27104-3353 USA
toll free 1-800-478-8476; fax 1-336-712-0004
Name _________________________ Company _________________________
Address _________________________________________________________
City _____________________ State ______ Postal Code ____________
Country ____________ Tel. ______________________________________
Email ___________________________________________________________
PO# __________________________________ Date _____________________
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Qty Description/Item# Unit Price Extended
___ DissectionWorks Deluxe Single User/DW100-01 $199.95 $_______
___ DissectionWorks Deluxe Lab Pack 5/DW100-05 $799.95 $_______
___ DissectionWorks Deluxe Lab Pack 10/DW100-10 $1399.95 $_______
___ DissectionWorks Frog Single User/DW101-01 $59.95 $_______
___ DissectionWorks Frog Lab Pack 5/DW101-05 $229.95 $_______
___ DissectionWorks Frog Lab Pack 10/DW101-10 $399.95 $_______
___ DW Fetal Pig Single User/DW102-01 $59.95 $_______
___ DW Fetal Pig Lab Pack 5/DW102-05 $229.95 $_______
___ DW Fetal Pig Lab Pack 10/DW102-10 $399.95 $_______
___ DW Crayfish Single User/DW103-01 $59.95 $_______
___ DW Crayfish Lab Pack 5/DW103-05 $229.95 $_______
___ DW Crayfish Lab Pack 10/DW103-10 $399.95 $_______
___ DW Earthworm Single User/DW104-01 $59.95 $_______
___ DW Earthworm Lab Pack 5/DW104-05 $229.95 $_______
___ DW Earthworm Lab Pack 10/DW104-10 $399.95 $_______
___ DW Perch Single User/DW105-01 $59.95 $_______
___ DW Perch Lab Pack 5/DW105-05 $229.95 $_______
___ DW Perch Lab Pack 10/DW105-10 $399.95 $_______
___ Rocks! & Minerals Single User/RM500-01 $49.95 $_______
___ Rocks! & Minerals Lab Pack 5/RM500-05 $199.95 $_______
___ Rocks! & Minerals Lab Pack 10/RM500-10 $349.95 $_______
___ CatWorks Single User/CW600-01 $79.95 $_______
___ CatWorks Lab Pack 5/CW600-05 $319.95 $_______
___ CatWorks Lab Pack 10/CW600-10 $559.95 $_______
___ SkyWorks Macintosh Single User/SWM300-01 $39.95 $_______
___ SkyWorks Macintosh Lab Pack 5/SWM300-05 $159.95 $_______
___ SkyWorks Macintosh Lab Pack 10/SWM300-10 $279.95 $_______
___ SkyWorks Windows Single User/SWW300-01 $39.95 $_______
___ SkyWorks Windows Lab Pack 5/SWW300-05 $159.95 $_______
___ SkyWorks Windows Lab Pack 10/SWW300-10 $279.95 $_______
___ Discover The Elements Single User/DTE400-01 $79.95 $_______
___ Discover The Elements Lab Pack 5/DTE400-05 $319.95 $_______
___ Discover The Elements Lab Pack 10/DTE400-10 $559.95 $_______
___ DTE Macintosh Bilingual Single User/DEM400-01b $99.95 $_______
___ DTE Macintosh Bilingual Lab Pk 5/DEM400-05b $399.95 $_______
___ DTE Macintosh Bilingual Lab Pk 10/DEM400-10b $699.95 $_______
___ DTE Windows Bilingual Single User/DEW400-01b $99.95 $_______
___ DTE Windows Bilingual Lab Pk 5/DEW400-05b $399.95 $_______
___ DTE Windows Bilingual Lab Pk 10/DEW400-10b $699.95 $_______
___ SlideWorks Beginner Slides CD-ROM Single User $29.95 $_______
___ SlideWorks Beginner Slides CD-ROM Lab Pack $149.95 $_______
___ SlideWorks Beginner Slides CD-ROM Lab Pack $259.95 $_______
** shipping options (select one only) **
Free US Shipping for approved School PO orders
___ US School PO order free free
___ US Shipping and Handling $3.95 $ 3.95
___ International Shipping $9.95 $ 9.95
___ Overnight Rush Charge (US) $19.95 $ 19.95
State Sales tax (NC Residents add 6%) $_______
Total Amount Due $_______
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Make out check or money order in US funds to:
ScienceWorks, Inc.
Please allow 2-3 weeks for delivery
unless overnight option selected.
Thank you for your order.