CAPITAL COMMUNICATIONS
EASY ORDER FORM
Purchase orders, and credit cards orders are accepted. Simply place a check or number by the title(s)
you wish to purchase. Fill in the shipping & billing information, and return via fax, telephone, or mail
to Capital Communications. Toll Free 1 (800) 822-5678, Fax 1 (941) 492-4923. Please photocopy this
form if ordering for multiple site purchases. NOTE: FREE SHIPPING IN THE UNITED STATES.
Ship To:______________________________________
Bill To:____________________________________________________
Attn:______________________________________________________
Address:___________________________________________________
City:______________________________State____Zip_____________
Telephone:________________ P.O. ______________________
PRICE: $139 EACH ALL 12 PROGRAMS: $1660
QUANTITY: TITLE
___ 1. Weighing
___ 2. Filtering
___ 3. Titration
___ 4. Pipetting
___ 5. pH Measurement
___ 6. Glassware
___ 7. Mixing & Sampling
___ 8. Standard Lab Equipment
___ 9. Understanding Data & SQC
___10. Use Of Syringes
___11. Lab Math & The Metric System
___12. Lab Safety
ADDITIONAL WORKBOOKS PRICE: $5.00 EACH WORKBOOK
Weighing _______
Filtering _______
Titration _______
Pipetting _______
pH Measurement _______
Glassware _______
Mixing & Sampling _______
Standard Lab Equipment _______
Data & SQC _______
Use Of Syringes _______
Math & Metric System _______
Lab Safety _______
CHECK FORMAT REQUIRED: DVD______________ CD-ROM______________VHS______________
Each module is accompanied with one workbook. If ordering for multiple sites please contact our office for prices. If ordering for additional workbooks or for international shipments, please contact our office for shipping price.**
TOTAL: _________
Please complete the following credit card information.
Visa (____) Mastercard (____) American Express (____)
Expiration Date _______________Card Number __________ _________ _________ ________
Print name as it appears on your card_________________________________________________
CAPITAL COMMUNICATIONS
2357-3 South Tamiami Trail, Venice, FL 34293
1 (800) 822-5678 - Toll Free 1 (941) 492-4923 - Fax
email: cap5678@isp.com
PAYPAL
FREE SHIPPING IN THE USA
CLICK BELOW TO PAY ONLINE BY CREDIT CARD
