Create, Collect, and Analyze Surveys and Web Forms

| Select the WISCO Survey Power version and Appropriate Pricing: | ||
| _____ | WISCO Survey Power Professional- keycode by email | $149.00 |
| (complete program- keycode by email) | ||
| _____ | WISCO Survey Power Premium Add-On | $200.00 |
| (convert Survey Monkey & Zoomerang data) | ||
| _____ | WISCO Survey Power _____ Multi-User License | ______ |
| (complete program- keycode by email) | ||
| _____ | WISCO Survey Power Ver. 7 CD-ROM Back-Up | $10.00 |
| (normal delivery is by Internet download) | ||
| SUB TOTAL | _______ | |
| WISCONSIN SALES TAX 5 1/2% | _______ | |
| TOTAL ORDER | _______ | |
| FOREIGN CUSTOMERS - PAYMENT MUST BE IN US DOLLARS | ||
| Our Bank Requires All Checks be drawn on a US Bank | ||
--------------------------------------------------------------- Please send the latest version of this program to: E-Mail Address_________________________________________________ Company or Individual Registered User_________________________________________________ Street Address__________________________________________________ City___________________________ State______ Zip Code___________ Method of Payment CHECK Money Order VISA MasterCard PO Name on Credit Card_____________________________________________ Card No.____________________________________ Exp. Date _________ Where did you learn about our programs?_________________________