To place your order, you can order on-line (10-DAY MONEY-BACK GUARANTEE) or to order by mail or fax, print this form, complete the CUSTOMER INFORMATION section below and mail or fax to:

 

QUALITY SYSTEMS INNOVATIONS, INC.
1 Meadow Drive
Effort, PA 18330
USA
Phone: 570-350-2937                            Fax: 570-445-4272
Email: qsiinc@ptd.net

CUSTOMER INFORMATION

____________________________________________________________________________
NAME        
                                                                                               
____________________________________________________________________________
TITLE
____________________________________________________________________________
COMPANY
____________________________________________________________________________
STREET ADDRESS (We will not ship to P.O. boxes.)
____________________________________________________________________________
CITY                                                                STATE                        ZIP/POSTAL CODE   
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COUNTRY
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PHONE                                                  FAX                                          E-MAIL
   
Please specify format you require (select one):
MS Word   ______                                                                                  
Rich Text Format  ______ (Select this format if you do not have MS Word on your computer.)                                                                                                                                                                                                                                                                                                           
Please specify item(s) you require:

Description

Price

QTY

ISO 9001 Quality Manual for Manufacturers $249.00  
ISO 9001 Quality Manual for Services $249.00  
ISO 9001 Quality Manual for Medical Devices $299.00  
ISO 9001 Quality Manual for Software Developers $299.00  
ISO 9000 Overview Training for Small Business Kit $69.00  
ISO 13485 Quality Manual $349.00  
ISO/IEC 17025 Quality Manual $339.00  
ISO/TS 16949 Quality Manual $349.00  
ISO 22000 Food Safety Management System Manual $349.00  
ISO Internal Auditor Training for Small Business Kit $149.00  
New Product Development and Introduction Manual, Volume 1 $199.00  
New Product Development and Introduction Manual, Volume 2 $149.00  
New Product Development and Introduction Process Overview Training Kit $100.00  
New Product Development and Introduction Manual - Complete $299.00  
Supplier Certification and Management Program $299.00  
Supplier Evaluation Kit $89.00  

Sales tax-6% (PA only) _____

Shipping & Handling-$10.00) _____

Total (with order) _____

 

                                                                                                                  

Payment: Orders from outside the US must be prepaid in US dollars, credit card, check or money order, or bank wire transfer.

CREDIT CARD INFORMATION: (If paying by credit card)

Card Type: _________________________________________________________

Card Number:  ______________________________________________________

Expiration Date:  _____________________________________________________

Name On Card: _____________________________________________________

Street Address:  _____________________________________________________

City: ___________________________________________________  State: _____

Zip/Postal Code: ________________ Country: _____________________________

Signature: _______________________________  Date Signed: ________________

 

PURCHASE ORDER #: ___________________

BANK WIRE TRANSFER:  _____ (Check here and, we will send you the applicable bank information.) 

Delivery:
Please allow 1 week for delivery in the United States and Canada.