Use this form to order SCRIP 2000 from Sunshine Software Solutions.
Organization Name: _____________________________________________________________
Address: ____________________________________________________________
City:
Phone: (____)_________________ Organization FAX: (____)__________________
E-mail Address: _____________________________________________________
Ship to Name: ___________________________________________________________________
Address:__________________________________________________________________
City:
Contact's Name: _________________________________________________________________
Phone: (____)________________ E-mail Address: _______________________________
How did you find out about SCRIP 2000? ______________________________________________
UNITED STATES:
[ ] Please send SCRIP 2000 for $189.00 + $10.00 s/h = $199.00 (US Dollars). Price includes software and User Guide.
[ ] Please send SCRIP 2000 replacement disc for $30.00 + $5.00 s/h = $35.00 (US Dollars).
[ ] Please send an additional SCRIP 2000 User Guide for $15.00 + $5.00 s/h = $20.00 (US Dollars).
[ ] Please send SCRIP 2000 for $189.00 + $30.00 s/h = $219.00 (US Dollars). Price includes software and User Guide.
[ ] Please send SCRIP 2000 replacement disc for $30.00 + $15.00 s/h = $$45.00 (US Dollars).
[ ] Please send an additional SCRIP 2000 User Guide for $15.00 + $15.00 s/h = $30.00 (US Dollars).
Method of payment is by check. We do not accept credit cards. Please mail this completed form and a check for the full amount to:
Sunshine Software Solutions
Questions: E-mail: nwoscrip@yahoo.com