SleepMultiMedia version 6.5 - Upgrade Request  

 

  Please print this form, complete and fax for an upgrade of SleepMultiMedia to Version 6.0

Upgrades are only available to registered owners of SleepMultiMedia.

  

  Network  Upgrade Price  

(Includes LAN System)

1- 4 employees - $250 + s/h        5- 20 employees - $350 + s/h

21- 499 employees - $495 + s/h       500 + employees - $995 + s/h

   (To ensure accuracy, please print all information)  

Name:________________________________________________Title: Ms/ Mr/ Dr/ DDS/RPSGT/ RRT

Department:  _____________________________________________________________________

Institution:  ______________________________________________________________________

Address:  ________________________________________________________________________ 

City, State, Zip ____________________________________________________________________

Phone:_______________________________________ Fax: _______________________________

E-mail:__________________________________________________________________________

Serial Number (on CD-ROM or DVD-ROM): __________________________________________

Payment: So that we may ship your order immediately, please select one of the following:

Shipping (Federal Express): USA $15, Other $35.

·       Payment enclosed (Make check payable to Sleep Multimedia, Inc.)

·       Charge to: MasterCard / VISA / AmEx

 

Cardholder's Name:__________________________________________________

Card Number:____________________________________________________     

Expiration Date:_____­­­___            Signature:_____________________________

Cost: __________  Shipping: _______  NY State Tax: ______ TOTAL:  _________  

Circle:  4xCD-ROM’s or 1xDVD-ROM  

If delivery is in New York, add local Sales Tax (if exempt, please attach certificate)

TERMS:  Payment is due in full at the time of the order. No COD's will be accepted.  

 

  Sleep Multimedia, Inc.

P.O. Box 329-H, Scarsdale, NY 10583, U.S.A.

Tel:  914 722-9291   Fax:  914 722-4490