CAPITAL COMMUNICATIONS

                                                               EASY ORDER FORM

Simply place a check or number by the title(s) you wish to purchase.
Fill in the shipping & billing information, and return via fax, telephone, or mail
to Capital Communications. Toll Free 1 (800) 822-5678, Fax 1 (941) 492-4923.
Please photocopy this form if ordering for multiple site purchases.

We offer FREE shipping in the USA and Canada for all orders placed on our website. International customers, please contact us for the shipping & handling charges to your country.

Ship To:______________________________________

Bill To:____________________________________________________


 Attn:______________________________________________________

Address:___________________________________________________

City:______________________________State____Zip_____________

Telephone:_______________________________

QUANTITY: TITLE PRICE: $144 EACH $1728 for all 12 programs
___ 1. Weighing
___ 2. Filtering
___ 3. Titration
___ 4. Pipetting
___ 5. pH Measurement
___ 6. Glassware
___ 7. Mixing & Sampling
___ 8. Standard Lab Equipment
___ 9. Understanding Data & SQC
___10. Use Of Syringes
___11. Lab Math & The Metric System
___12. Lab Safety


ADDITIONAL WORKBOOKS PRICE: $5.00 EACH WORKBOOK
Weighing _______
Filtering _______
Titration _______
Pipetting _______
pH Measurement _______
Glassware _______

Mixing & Sampling _______
Standard Lab Equipment _______
Data & SQC _______
Use Of Syringes _______
Math & Metric System _______
Lab Safety _______
   
FORMAT: DVD______________ CD-ROM______________VHS______________ ( please check the appropriate format )

** Each module is accompanied with one workbook. If ordering for multiple sites please contact our office for prices. If ordering for additional workbooks or for international shipments, please contact our office for shipping price.**

                                                        TOTAL: _________

Please complete the following credit card information.

Visa (____) Mastercard (____) American Express (____)

Expiration Date _______________Card Number __________ _________ _________ ________

Print name as it appears on your card_________________________________________________

                                                                                 

CAPITAL COMMUNICATIONS
2357-3 South Tamiami Trail, Venice, FL 34293
1 (800) 822-5678 - Toll Free 1 (941) 492-4923 - Fax
email: cap5678@isp.com

 
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