Anesoft Order Form |
|
Print form, mail or fax to:
|
|
Name |
|
|
Address (Include suite numbers) |
|
|
Phone |
|
|
|
|
|
ACLS Simulator Win/Mac CD-ROM |
v2012 Single License $79 v2012 Single Upgrade $59 v2012 Institutional License $1009 v2012 Institutional Upgrade $809 |
|
|
| Anesthesia Simulator
Win CD-ROM |
v5 Single License $109 v5 Single Upgrade $89 v5 Institutional License $1009 v5 Institutional Upgrade $809 |
|
|
| Bioterrorism Simulator
Win/Mac CD-ROM |
v2002 Single License $109 v2002 Single Upgrade $89 v2002 Institutional License $1009 v2002 Institutional Upgrade $809 |
|
|
| Critical Care Simulator
Win CD-ROM |
v3 Single License $109 v3 Single Upgrade $89 v3 Institutional License $1009 v3 Institutional Upgrade $809 |
|
|
| Hemodynamics Simulator
Win/Mac CD-ROM |
v2002 Single License $79 v2002 Single Upgrade $59 v2002 Institutional License $1009 v2002 Institutional Upgrade $809 |
|
|
| Neonatal Simulator
Win CD-ROM |
v2 Single License $79 v2 Single Upgrade $59 v2 Institutional License $1009 v2 Institutional Upgrade $809 |
|
|
| Obstetrics Simulator
Win CD-ROM |
v3 Single License $109 v3 Single Upgrade $89 v3 Institutional License $1009 v3 Institutional Upgrade $809 |
|
|
|
PALS Simulator Win/Mac CD-ROM |
v2012 Single License $79 v2012 Single Upgrade $59 v2012 Institutional License $1009 v2012 Institutional Upgrade $809 |
||
|
Pediatrics Simulator Win CD-ROM |
v3 Single License $109 v3 Single Upgrade $89 v3 Institutional License $1009 v3 Institutional Upgrade $809 |
||
| Sedation Simulator
Win/Mac CD-ROM |
v4 Single License $109 v4 Single Upgrade $89 v4 Institutional License $1009 v4 Institutional Upgrade $809 |
|
|
| Resuscitation Bundle
ACLS v2012, PALS v2012 and Neonatal v2 Simulators |
Single License $148 Institutional License $2008 |
|
|
| Pediatrics Bundle
Pediatrics v3, PALS v2012 and Neonatal v2 Simulators |
Single License $174 Institutional License $2008 |
|
|
| Subtotal |
|
||
| Washington State Residents Only Add 9.9% of Subtotal for Sales Tax |
|
||
| Total |
|
||
Payment Method
|
Mastercard |
|
Expiration |
|
Visa |
|
Expiration |
|
Check |
Check must be enclosed with order |
|