SkyWorks 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


___  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      $_______


** 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.