Neural Network Software Order Form

To order, either print a hard copy in "portrait" mode or copy and paste to a word processor set up for faxing and fax this completed form without a cover page to (858) 456-3962; or e-mail the completed form to rtrippi@ucsd.edu; or mail the form with your check payable to Logical Designs Consulting, Inc. (in U.S. dollars drawn on a U.S. bank only) to: Suite 107, 5666 La Jolla Blvd., PMB 107, La Jolla, CA 92037

Quantity

______ ThinksPro Professional Edition software system @ $1,495.00 (US) - Order No. 10012

______ ThinksPro Run Time Dynamic Link Library (DLL) @ $299.00 (US) - Order No. 10014

______ Neural Network Function Source Code @ $2,995.00 (US) - Order No. 10015

_________ Subtotal

_________ SalesTax (7.75%, CA Only)
_________ Shipping (U.S.; FedEx 2^nd Day $19.25, Overnight $39.00. Outside U.S.; Billed as Actual).

_________Total

To use your {DHL}, {Airborne Ex.}, or {Fed Ex.} account, enter its number here: ___________________

Payment Information:
Circle one: {Payment Enclosed} {Mastercard} {Visa} {American Express}
Account No. _____________________
Expiration Date __________________
Name on Card ___________________ Signature __________________________

Ship To:
Name of Person Ordering ______________________ Company ________________________
Street Address _______________________________ City ____________________________
State and Zip Code ___________________________ Country__________________________
Telephone & E-mail __________________________