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.