ORDER FORM FORWQC PRODUCTS

To Order any WQC Product:PRINT THIS PAGE OUT, COMPLETE THE FORM, AND FAX IT DIRECTLY TO 608-833-0640 or 203-389-6753(outside the US use all applicable country codes).

To check our price list, click here.

Call 608-833-4718 for more information (or if you want to use a hospital P.O.).

To order through the AACC, ASCLS, or CLMA, click here.

Your Name
Institution
Title
Department
Street
City	State	Zip Code
Country
Business Phone
Business Fax
E-Mail Address

Credit Card type (circle one)	VISA Mastercard American Express
Credit Card Number
Expiration Date
Cardholder (please print)
Signature

Consult the price list to fill out the product form:

Item	List Price	Quantity	Subtotal
EZ Rules 3 software	$695.00
Basic Method Validation, 3rd Edition manual	$80.00
Six Sigma Quality Design & Control manual, 2nd edition	$90.00
Assuring the Right Quality Right	$90.00
Nothing but the Truth book (limited quantities)	$90.00
CLIA Final Rules for Quality Systems	$60.00
Basic QC Practices, 2nd Edition manual	$60.00
Basic Planning for Quality manual	$60.00
Training	List Price	Quantity	Subtotal
*Basic QC Practices online course* (14 credits)**	$135.00
Basic Method Validation online course (15 credits)	$175.00
NEW! Quality Management and Design of Analytical Systems, an Introduction online course	$75.00
"Westgard Rules" and Levey-Jennings Charts online minicourse	$60.00
Total:
*Write Coupon Code: & Discount:*
Sales Tax (Add 5.5% in WI, 6.0% in CT)
*Shipping & Handling (with 48 states of US shipping: see table)**
Shipping & Handling to AK, HI, Canada & Mexico: Add 10%
Shipping & Handling to all other countries: Add 20%
GRAND TOTAL:

Fax this to 608-833-0640 or 203-389-6753. If there are any special shipping instructions (floor and office number, mail stop, etc.), or any comments or questions you'd like to add, please use this space below:

*WQC sends manuals via US Priority Mail; inquire for other types of shipping.

Click here to order WQC products through a professional society or other distributor

A note about Web Specials:

Discount offers on WQC products are only available through the use of the online store on the Westgard website.Orders via mail, fax, and phone are not elligible for these specials. Furthermore, the Web Specials are available for the limited period stated with the offer. Approximately once every month, the Web Special will change. Once the time has elapsed on an offer, the product reverts to its original price as listed in the Catalog.

US Domestic Shipping and Handling fees:

Under $100 = $9.95 shipping & handling
$100 - $200 = $10.95 shipping & handling
$200 - $300 = $11.95 shipping & handling
$300 - $400 = $12.95 shipping & handling
$400 - $500 = $13.95 shipping & handling
$500 - $600 = $14.95 shipping & handling
$600 - $700 = $15.95 shipping & handling

Over $700 = inquire for quote.