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:

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.






For software orders please specify; IBM/PC _____ Macintosh _____

All software is provided on CD-ROM unless otherwise requested.

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