McCarron-Dial Systems, Inc. P.O. Box 35285 Dallas, TX 75235-0285
Telephone: 214/634-2863 Fax: 214/634-9970
Date: _________________________ P.O. Number: ___________
| BILL TO: | SHIP TO: (if different from billing) |
| Name of Organization | Name of Organization |
| Attention | Attention |
| Billing Address | Shipping Address |
| City - State - Zip | City - State - Zip |
| Authorized Signature | Telephone: |
| Fax: |
Is your organization tax exempt? No _____ Yes _____ If yes, please submit tax exemption certificate with order.
Prices are F.O.B. Dallas, TX; shipping/handling added to invoice. Please allow 10% for shipping and handling, minimum charge of $8.95 applies. Orders less than $100.00 shipped to residential addresses will be charged a $5.00 fee in additional to shipping. Rates outside the continental U.S. will be higher, please contact MDS for current rates. All prices are listed in U.S. Dollars. MDS accepts organizational purchase orders or pre-payment by check.
| Description | Qty. |
Each |
Total |
For software orders please specify; IBM/PC _____ Macintosh _____
All software is provided on CD-ROM unless otherwise requested.