|
Print form, mail or fax to:
|
|
Name |
|
|
Address (Include suite numbers) |
|
|
Phone |
|
|
|
|
ACLS Simulator Win CD-ROM |
v7 Single License $79 v7 Single Upgrade $59 v7 Institutional License $1009 v7 Institutional Upgrade $809 v7 Institutional Conversion $940 |
|
|
| Anesthesia Simulator
Win CD-ROM |
v5 Single License $109 v5 Single Upgrade $89 v5 Institutional License $1009 v5 Institutional Upgrade $809 v5 Institutional Conversion $909 |
|
|
| Critical Care Simulator
Win CD-ROM |
v3 Single License $109 v3 Single Upgrade $89 v3 Institutional License $1009 v3 Institutional Upgrade $809 v3 Institutional Conversion $909 |
|
|
| Hemodynamics Simulator
Win CD-ROM |
v2002/v1.0 Single License $79 v2002/v1.0 Institutional License $1009 v2002/v1.0 Institutional Conversion $940 |
|
|
| Neonatal Simulator
Win CD-ROM |
v2 Single License $79 v2 Single Upgrade $59 v2 Institutional License $1009 v2 Institutional Upgrade $809 v2 Institutional Conversion $940 |
|
|
| Obstetrics Simulator
Win CD-ROM | v3 Single License $109 v3 Institutional License $1009 v3 Institutional Conversion $909 |
|
|
|
PALS Simulator Win CD-ROM |
v7 Single License $79 v7 Institutional License $1009 v7 Institutional Conversion $940 |
||
|
Pediatrics Simulator Win CD-ROM |
v3 Single License $109 v3 Institutional License $1009 v3 Institutional Conversion $909 |
||
| Sedation Simulator
Win CD-ROM |
v3 Single License $109 v3 Single Upgrade $89 v3 Institutional License $1009 v3 Institutional Upgrade $809 v3 Institutional Conversion $909 |
|
|
| Resuscitation Bundle
ACLS v7, PALS v7 and Neonatal v2 Simulators |
Single License $168 Institutional License $2028 |
|
|
| Subtotal |
|
||
| Washington State Residents Only Add 9.0% of Subtotal for Sales Tax |
|
||
| Total |
|
||
Payment Method
|
Mastercard |
Expiration |
|
|
Visa |
Expiration |
|
|
Check |
Check must be enclosed with order |
|