Order Form
SHIP TO:
Name ____________________________________________________
Business Name ____________________________________________
Street Address _____________________________________________
_________________________________________________________
________________________________________________________________
Email Address _____________________________________________
__ VISA __DISC Card Verification Value
__ AMEX __MC ( last 3 digits on
reverse side of card ) _____________
Credit Card Number _______________________________________
Exp. Date _______________ Phone __________________________
Card Billing Address _______________________________________
________________________________________________________
________________________________________________________
Signature ________________________________________________
Circle the desired product prices:
( 3 mo.)
( 6 mo.)
( 1 yr.)
( 10 yr.)
UT package (64 bit) $100 ( 3 mo.) $150 ( 6 mo.) $250 ( 1 yr.) $750 ( 10 yr.)
Space, Time, Cycles and Phase (audio lecture)
Financial Forecasting and Neural Networks (book)
Priority Express
Pinnacle CLC Database + DataMaker + DataKeeper $ 99
Pinnacle Commodity database – over 8000 contracts
$ 149
Pinnacle COT Database + DataMaker $ 99
Pinnacle IDX Database: any 6 IDX groups
$ 149
-- Priority has no tracking number --
International deliveries by U.S. Global Priority
and Express mail. Additional fee if you prefer
using a different carrier.
* $50 discount applies only if also ordering VEL, JMA,
CFB, RSX, WAV or DDR. Otherwise use full price.
Product Subtotal __________
California tax: add 7.25%
LA county: 9.25% __________
Shipping
‡‡
__________
Insurance
‡
__________
__________
‡‡
If your order includes only JMA, VEL, RSX, CFB, DDR, and/or WAV, then you
may choose to download the software, whereby shipping is free. To select this
option, write “DOWNLOAD” on the shipping line.
‡
If your product subtotal is over $550, you must select one of the following:
EITHER you agree someone will provide a signature upon delivery, (if so, write
“SIGNATURE” on the insurance line), OR if a delivery signature is not possible,
then enter a delivery insurance amount of $7.50.
Fax: 323-258-0598
Call: 323-258-4860
Fax and phone numbers may
be used only for business
related to this order form.
JURIK RESEARCH SOFTWARE INC., Suite #595
556 South Fair Oaks Avenue, Pasadena, CA 91105
If envelope is opened, or if password is requested, returns are only accepted according to terms of license agreement, which may be viewed at
http://www.jurikres.com/legal/legal.htm
. All refunds are subject to 15% servicing fee. Shipping fees non-refundable.
Toolset Version Circle the desired tools Circle the package price
TS
JMA RSX VEL CFB
3 tools $445 7 tools $745
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