TRIAD PUBLISHING COMPANY
EYE CARE NOTES 2.0  /  ORDER FORM

Print this page and mail or fax to Triad Publishing Co.
P.O. Box 13355, Gainesville, FL 32604 -- Fax: 1-304-727-9345

Questions? Tel: 352-373-5800

PRICING
Doctors office: $295 plus $10 for each doctor (MD, OD, DO) on your letterhead (enclose sample with order)
Institution: $550
Shipping & handling (per address): continental U.S. $8; Alaska, Hawaii, U.S. terr. $14; Canada $15.00.
International: contact Triad for shipping costs; specify air or surface. Payment must be in U.S. funds
drawn on a U.S. bank, world money order, or credit card (Visa, Mastercard, Discover, AmEx).


ORDER FORM

Doctors office : $............... (or) Institution: $............... Shipping and handling: $............. Total due: $..............

Method of payment:
................ Check enclosed (must be in U.S. funds drawn on a U.S. bank)
...............  Institution purchase order (U.S. only)
................ Credit card (circle one):   Visa --- MC --- Discover --- AmEx

Card No. .............................................................................................Exp. date..........................
Cardholder's name................................................................ Signature.................................................................

Ship to:  Name .........................................................................................................................................................
Address ....................................................................................................................................................................
City/State/Zip ............................................................................................................................................................
Phone...............................................   Fax ...................................................  e-mail .......................................


LICENSE:
All material in Triad's Eye Care Notes is subject to and protected by U.S. copyright law. By your purchase, as licensee you
are granted the limited right to reproduce topics to give to patients, for newsletters or brochures, or similar uses. Website
or internet use is not included in this right.
You may not remove or conceal the copyright notice. If you adapt the topics in any way, that is, if you make any changes, additions or deletions to the text, or translations into a language other than English, you assume full responsibility for any liability that may result because of the changes. All such changes are covered by the original copyright. You may not resell any part of the material covered by this License. Any new topics, updates, different
formats, or other products based on Triad's Eye Care Notes that you may receive or purchase in the future are covered by this
License.
.
...................................................................................................................................
All sales final. Prices subject to change without notice. Copyright 1999-2017 Triad Communications, Inc.