Stata U.S. Order Form

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					                  STATA U.S. ORDER FORM
                                                          ---------------------
Prices are available at 

http://www.stata.com/order/new/edu/gradplans/gp-direct.html
You may order by emailing your order to us, by calling our 800 phone
number, or by faxing or mailing the form to us.
         

+----------------------------------------------------------------------------+
|  StataCorp LP	                             Tel.  800-STATAPC               |
|  4905 Lakeway Drive                              800-782-8272  (U.S.)      |
|  College Station, Texas 77845                    800-248-8272  (Canada)    |
|                                                  979-696-4600  (worldwide) |
|  sales@stata.com                           Fax   979-696-4601              |
+----------------------------------------------------------------------------+

Order form:
================================== Cut here ===================================
StataCorp LP                                            email:  sales@stata.com
4905 Lakeway Drive                                        fax:  979-696-4601  
College Station, TX 77845                          U.S. phone:  800-782-8272

                                                     (optional)
Product Code and Description             Quantity   Total Weight    Total Cost
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_____________________________________   __________     _______   _____________

_____________________________________   __________     _______   _____________

_____________________________________   __________     _______   _____________

_____________________________________   __________     _______   _____________

Subtotal                                               _______   _____________


Shipping:

   You can calculate exact shipping charges ... 

    Guaranteed 3-day            $ 7.70 PLUS $1.30 per pound      _____________
      E.g.,              1 lb.  = 7.70 +  1*1.30 = $ 9.00

    FedEx 2-day                 $12.00 PLUS $1.50 per pound      _____________


    FedEx Standard Overnight    $21.00 PLUS $2.00 per pound      _____________


    FedEx Priority Overnight    $23.75 PLUS $2.25 per pound      _____________


    FedEx Saturday Delivery     $38.25 PLUS $2.25 per pound      _____________


    Ground                      $ 6.70 PLUS $0.65 per pound      _____________

   -OR- just put "XXX" for the amount next to the method you 
   want, and we will calculate the weight and cost for you.


TOTAL                                                            _____________


Payment Method (check one)

    ____  Purchase order     P.O. number   ___________________________________

    ____  Check (make payable to StataCorp)

    ____  Credit card:   ____ American Express    ____ MasterCard    ____ Visa

          Credit card No. ________________________________ exp date __________

          Signature       ____________________________________________________
                            (If ordering by email, just give name on card.)



Please give serial number if you are upgrading  ______________________________


                    
            SHIPPING ADDRESS:                 BILLING ADDRESS:

Name        _______________________________   ________________________________

Institution _______________________________   ________________________________

Address     _______________________________   ________________________________

            _______________________________   ________________________________

            _______________________________   ________________________________

            _______________________________   ________________________________

Telephone   _______________________________   ________________________________

Email       _______________________________   ________________________________

                          (Thank you for your order.)