Order Form

Use this form to order SCRIP 2000 from Sunshine Software Solutions

Organization           Name:   _____________________________________________________________

                               Address:  ____________________________________________________________

                             City:  __________________________________ State: ____  Zip:  _______________

                             Phone: (____)_________________  Organization FAX:  (____)__________________

                             E-mail Address:  _____________________________________________________

Ship to                  Name:  ___________________________________________________________________

                             Address:__________________________________________________________________

                             City:  _____________________________________ State: ____  Zip:   ________________

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 an additional SCRIP 2000 Authorization Code for $15.00 + $0.00 s/h = $15.00 (US Dollars). 

[  ] Please send an additional SCRIP 2000 License for $50.00 + $.00 s/h = $50.00 (US Dollars). 

CANADA: To speed delivery, please use paypal or an International Money Order drawn from a US bank.

[  ] 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). 

[  ] Please send an additional SCRIP 2000 Authorization Code for $15.00 + $0.00 s/h = $15.00 (US Dollars). 

[  ] Please send an additional SCRIP 2000 License for $50.00 + $.00 s/h = $50.00 (US Dollars). 

Method of payment is by check or paypal. We do not accept credit cards. Please mail this completed form and a check for the full amount to:

Sunshine Software Solutions

4435 Nantuckett Drive

Toledo, OH 43623-3113

Questions:  E-mail:  nwoscrip@gmail.com