Order Form
                                                  


Print out this web page.
Fill out this form.
Enclose check or money order (United States currency)
payable to "Neuton Data Systems".
Mail to:

Neuton Data Systems
440 No. Curson Ave.
Los Angeles, California  90036 USA

Quantity
Product
Price each
Price
SIGNUP CENTER, v. 1.5 software only (+ $3.50 shipping to US addresses)
Be Sure to specify which version of Signup Center you want:
a) SIGNUP2G (Printer & Games)
b) SIGNUP3G (No-Printer & Games)
c) SIGNUP2N (No-Games & Printer)
     d) SIGNUP3N (No-Games & No-            Printer)
$ 39.95
CCD Bar code Scanner (DataMatrix)
(+ $8.00 shipping & ins. to US addresses)
$ 144.95
Laminated  "Computer Signup Center" sign 8 1/2 x 22 (+ $1.00 shipping)

$ 7.00
Laminated full-color "Computer Signup" Menu: (+ $1.00 shipping)

$ 2.00
Laminated "Computer Signup Instructions" sheet (+ $1.00 shipping)
$ 1.50
ALL OF THE ABOVE ITEMS TOGETHER AS A PACKAGE
(+ $ 10.50 shipping & ins. to US Addresses)
Be Sure to specify which version of Signup Center you want:
a) SIGNUP2G (Printer & Games)
b) SIGNUP3G (No-Printer & Games)
c) SIGNUP2N (No-Games & Printer)
d) SIGNUP3N (No-Games & No-Printer)
$ 179.95
Shipping and insurance
TOTAL


Please provide your information below exactly as it will be entered in the registration panel.

Organization:

Name __________________________________________________________

Address ________________________________________________________

City ___________________________________________________________

State ____    Zip ______     Phone ________________________

Email _______________________________________________


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