Page 15 of Product Catalog 2007 - 2008 by Society of Diagnostic Medical Sonography

® society of diagnostic medical sonography please print qty size item description order form 1 order item price subtotal prices subject to change subtract discount if applicable shipping and handling must attach coupon note see back of this form for charges only applies to orders shipping to texas for pegasus lectures national certification examination simulations cd-rom orders you are required to provide the last 4 digits of your social security number and your 5-digit zip code for cd coding and cme processing last 4 digits of social security number plus 5-digit zip code 4 2 texas sales tax 8.25 total enclosed 10 minimum purchase on credit card orders payment sdms member membership discover mastercard non-member check/money order enclosed for american express payable to sdms drawn on u.s bank and payable in u.s funds visa credit card name on card expiration date signature required on all orders i have read and understand the sdms refund policy i also understand that all shipping and handling charges are non-refundable i authorize sdms to process my order and if applicable charge the credit card provided as it appears on card address as it appears on statement billing address for credit card holder city state/province/country and zip+4/postal code signature shipping address daytime phone fax number name company address city country 4 state/province email address zip+4/postal code how to order call 800 229-9506 monday friday 8 am 5 pm cdt fax order to 214 473-8563 7 days a week 24 hours a day please print or type your order and include credit card information print or type order form and mail with check money order or credit card to sdms 2745 n dallas pkwy ste 350 plano tx 75093-8730 additional questions call sdms at 800 229-9506 to order call toll free 1-800-229-9506 monday friday 8 am 5 pm cdt pcweb0708 sdms 2007-2008 product catalog 1

[close]