MATEMATIKO MATH PRACTICE PROGRAM

FOR MATH PREPARATION CLASSES -- Middle School, GED, HiSET, TASC, ASVAB

MATEMATIKO ORDER FORM

PLEASE PRINT THIS ORDER FORM AND SEND BY REGULAR MAIL.

Order will be shipped within two business days.

Version (Check one)

______  Individual license  --- $19.99 + $2.00 postage and handling

______  Site license (multiple computers in one building)  $49.99 + $2.00 postage and handling

Date: _____________________________________________________________________________________

Name:  _______________________________

Organization Name (site license only--required): _________________________________________________

Address: ___________________________________________________________________________________

State or Province:  ___________________________________________________________________________

ZIP: _______________________________________________________________________________________

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EMAIL: ____________________________________________________________________________________

Terms: Payment must accompany this order.  Payment must be a money order.  Institutional Purchase Orders Accepted.

Send form to

Alan Tubman

26 Quissett Street

Worcester, MA 01602 (USA)

File updated May 10, 2008