TAI - TeleworkAudits / TeleworkAnalysys Order Form

TeleworkAudits™ & TeleworkAnalysys™ Order Form

Name:	_______________________	Company Name:	_______________________
Title:	_______________________	Street:	_______________________
Phone:	_______________________	City:	_______________________
Fax:	_______________________	State/Country:	_______________________
Email:	_______________________	Postal/Zip Code:	_______________________

Payment Method: (Check One)

PO (approval required):__	PO Number:	_______________________
Check (US Funds Only):__
Visa:__ Mastercard:__	Name of Card Holder:	_______________________
	Account Number:	_______________________
	Expiration Date:	_______________________
	Signature:	_______________________

TeleworkAnalysys™ Packages

Package Title	# of People	Cost (US $)	Check Desired Package
Pilot/Prototype:	25	$ 1,250.00	____
Professional:	75	$ 3,712.50	____
Local Network:	150	$ 7,200.00	____
Consultant:	250	$11,375.00	____
Wide Network:	500	$21,000.00	____
Package Cost: $_______ (A)

Additional TeleworkAnalysys™ Analyses

Additional TeleworkAudits™ Diskettes

Package Title	Cost Ea. (US $)	Number (in 25's)
Pilot/Prototype:	$ 49.50	____
Professional:	$ 49.00	____
Local Network:	$ 46.00	____
Consultant:	$ 41.00	____
Wide Network:	$ 34.00	____
Extra Analyses Cost: $_______ (B)

Package Title	Cost Ea. (US $)	Number (in 25's)
Pilot/Prototype:	$ 15.00	____
Professional:	$ 14.00	____
Local Network:	$ 13.00	____
Consultant:	$ 11.50	____
Wide Network:	$ 10.00	____
Extra Diskettes Cost: $_______ (C)

Subtotal (A + B + C)	$_________
Sales Tax (VA only @ 4.5%)	$_________
Shipping and Handling ($10 US, otherwise @ FedEx rates)	$_________
TOTAL	$_________

E&OE
November 1997

Fax Order to: Telework Analytics International
(571) 434-7444
For Inquires, Call: (888) 353-9496
Order confirmation will be faxed unless checked:__

To order TeleworkAudits^(TM) and TeleworkAnalysys^(TM) contact Telework Analytics International, Inc. at 1 (888) 353-9496 or (571) 434-7444. You may also print out this order form and fax it to (571) 434-7447.

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(Last Updated: Friday, 11-Jan-2002 12:51:21 EST)
This page has been accessed times since Friday, 11-Jan-2002 11:36:04 EST.