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Product Name Price Quantity Total
Seeing and Hearing Speech
CD-ROM for Windows® XP/Vista 		US$85.00    
Total Merchandise $  
Shipping and Handling* +  
MA residents add 6.25% sales tax / CA residents add 8.25% sales tax +  
TOTAL $  

*All orders will have shipping costs calculated based on weight. Please contact Sensimetrics directly for Express Shipping information.
Credit Card Information
Visa MasterCard American Express    Discover
Card #__________________________________________ Expiration Date____________

Signature________________________________________

For Visa, MasterCard, Amex or Discover orders, mail this form to the address below or fax it to (781)399-0853.


Sensimetrics Corporation
14 Summer Street, Suite 403
Malden, MA 02148-3994
Attn: Product Orders

For Phone orders, please call (781) 399-0858 Ext. 235.
Reseller discounts are available.  Please call for more information