DATASENSE, LLC - Order Form – QDA Miner – SimStat – WordStat
Fax form to (661) 215.937
9 or email kconger@datasense.org
Prices subject to change without notice

Registrant Name: (last)______________________________(first)_____________________(middle initial)_____
Institution:
______________________________________________
Download is available. If boxed product(s) wanted, fill in shipping information:
Shipping street address (box number not accepted by carriers):
____________________________________________________________________Apt./Suite: ____
City: _____________________________________ State: ______ Zip: ____________
Phone: (home) (____) ________________ (work) (____) _______________
Phone for Shipping Label: (____) __________ Email address for confirmation:___________________________

Method and Authorization of Payment (check one):
University Purchase Order #________ (attach PO)
Credit card: ___ VISA© ___MasterCard©
___American Express
Card number: ___________________________________ Expires (MM/YY): ______________
Exact name as it appears on card___________________________________________________
Billing address for card:____________________________________________ Apt./Suite: ____
City: ____________________________________________ State: ______ Zip: _____________
Email address for receipt if different from registrant:_____________________________________________
Authorizing signature: _____________________________________ Date: _________
(I HEREBY AGREE TO COMPLY WITH ALL OF THE TERMS OF THE CARDHOLDER AGREEMENT)
To prevent unauthorized use of your credit card, DATASENSE, LLC requires that all charge card users sign on the
Authorized Signature line of this form.

PRICES ARE FOR QDA MINER 3.0, SIMSTAT 2.5, WORDSTAT 5.1

         

Quantity

 

Academic pricing applies for faculty members, students

if mailed to a valid college or university address.

Unit Price

Standard

Unit Price

Academic

 

 

Total

 

QDA Miner 3.0

995.00

465.00

 

 

QDA Miner 3.0 with SimStat 2.5

1450.00

635.00

 

 

QDA Miner 3.0 with WordStat 5.1

  2450.00

815.00

 

 

QDA Miner 3.0 with SimStat 2.5 and WordStat 5.1

   2895.00

995.00

 

 

SimStat 2.5

     495.00

 195.00

 

 

SimStat 2.5 and WordStat 5.1

   1950.00

 545.00

 

 

WordStat 5.1 addon module (requires SimStat 2.5 or QDA Miner 3.0)

     1495.00

 375.00

 

 

Multi-users Licenses:

 

 

 

 

5 users license - QDA Miner 3.0           

   3950.00

1850.00

 

 

5 users license - QDA Miner 3.0 with WordStat 5.1

   9800.00

3150.00

 

 

5 users license - QDA Miner 3.0 with SimStat 2.5 and WordStat 5.1

   11500.00

3750.00

 

  5 users license - SimStat 2.5
1950.00
780.00
 

 

5 users license – SimStat 2.5 and WordStat 5.1

   7800.00

1995.00

 

 

 

 

 

 

 

Electronic delivery $0.00 
Email address for delivery (if different from email confirmation address):
______________________________________________
________________

 

 

 

       0.00

 

If you wish to receive boxed products, airmail fees apply:
Add $35.00 airmail for CD and manual

 

 

 

California residents - Sales Tax (7.25%)

 

 

 

 

TOTAL

 

 

 

 

Mailing Address: DATASENSE, LLC, 25101 Bear Valley Road, Suite 297, Tehachapi, CA 93561-8311
Ph: (661) 821-1909, Fax: (661) 215-9379   Email: kconger@datasense.org