Research Systems Visible Human Female Order Form

If you would like to order the Research Systems Inc.Visible Human CD please PRINT this form and fax your order to 330.688.4196, or call TOLL FREE 1.888.523.5089.

RESEARCH SYSTEMS VISIBLE HUMAN ORDER FORM. (Please print or type.)

Name___________________________________________________

Street Address___________________________________________

City_____________________________________________________

State/Province____________________________________________

Postal Code______________________________________________

Country__________________________________________________

Phone___________________________________________________

Fax_____________________________________________________

Email address____________________________________________

Payment Method(Visa or Mastercard only)____________________

Credit Card # __/__/__/__/__/__/__/__/__/__/__/__/__/__/__/__/

Expiration Date___________________________________________

Quantity Requested_______________________________________
Format-(circle one) Unix Macintosh Windows
NOTE: THE RSI VISIBLE HUMAN MALE IS NO LONGER BEING MANUFACTURED. Price for the RSI Visible Human Female CD - $215.00 This includes U.S shipping International orders add $25.00 for shipping and insurance. All shipping is via U.S. Postal Service unless other arrangements are made. All prices quoted are in US dollars. PRICE SUBJECT TO CHANGE WITHOUT NOTICE. Fax this form, or call: Expomed Inc., P.O.Box 186, Munroe Falls, Ohio 44262 Tel 330.688.9620, Fax 330.688.4196 http://www.expomed.com/software.htm All manufacturer warranties apply DUE TO SECURITY REASON, CONCERNING CREDIT CARD NUMBERS, IT IS SAFER TO FAX CREDIT CARD INFORMATION. THERE ARE NO RETURNS ON OPENED SOFTWARE.

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