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CleoSci Software Order Form
Billing Address:		Shipping Address (leave blank if same as billing):
First Name:		First Name:
Last Name:		Last Name:
Company:		Company:
Street Address:		Street Address:
Suite #, other:		Suite #, other:
City:		City:
State:		State:
Zip:		Zip:
Country:		Country:
Telephone:		Telephone:
E-mail:		E-mail:

Item to Order: Qty: Unit Price:

Comments or additional information:

Thank You for Your Support!

All orders placed today are shipped within 48 hours of receipt. Orders of 5 or more copies will receive a multi-user discount (click here for discount pricing information). For your security, please do not send credit card information with this form, however, please do fill in address information as completely as possible so we know where the order will be going! Space has been provided for separate billing and shipping addresses. If both addresses are the same, you need only fill in one section.

There is a bug in some older browsers which can cause some of the data entry cells to visually disappear from your screen when you are scrolling the order form - you may already have discovered this on other forms at other websites. If this happens, simply re-scroll your screen, OR click your cursor where you know a data cell exists. Then go ahead with entering the information. Thank you!

All orders are subject to approval and good credit. Additional, non-refundable shipping and handling charges will be added to your order. Site-licensing options are available. The content of this form, including but not limited to, pricing, availability, and features, is subject to change without notice. We are not responsible for errors in typography or appearance.

Orders: 1-888-CLEOSCI
CleoSci, PO Box 17037, St. Paul, MN 55117-0037, USA, 1-651-771-9209, info@cleosci.com