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Purchasing Form

Name .
Address .
Street .
City . State . Zip .
Phone . Fax .
E-mail .

Pricing

Continuing Dental Education:

Item Item Number Price
1 USER PACKAGE (1 CD, 1 authorization) 1UCD $200
ADDED USER (no CD, 1 authorization) AUCD $100
4 USER PACKAGE (1 CD, 4 authorizations) 4UCD $400

Educational Site:

Item Item Number Price
SINGLE CD ES1CD $200
3 CD ES3CD $500
5 CD or MORE ES5CD $125 per CD

Order Information

Quantity Item Item Number Price per Item Item Total
. . . . .
. . . . .
. . . . .
. . . . .
Subtotal .
Add Shipping US/Foreign $5/$25
Total USD .

Return to:
Ms Jamie Sharp
College of Dentistry
346 Dental Science N
Iowa City, IA USA 52242-1010
Make Checks Payable to: The University of Iowa

 

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