Self Help Inter-Personal Skills Assessment
SHIPS
Order Form (Please print and mail or FAX)


Computer Multimedia Productions Corporation is proud to offer the SHIPS assessment

WITH DIGITAL VIDEO SIGNS, ENLARGED PRINT AND AUDIO.

Yes! I want to purchase the SHIPS assessment. (30 day free trial with purchase order).

Quantity discounts available. SHIPS Assessment(s) @ $299.00 Quantity ____ Total____

shipping & handling @ $5.00 Quantity ____ Total____________

Total Payment Due____________

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_____ Purchase Order (Please Attach) (CMPC Federal Id #59-3122464)

_____Check - Make Payable To:

Computer Multimedia Productions Corporation

4707 140th Avenue North, Suite 203

Clearwater, FL 34622

(727) 531-7279 -- FAX (727) 531-7498 -- E-Mail hilla@cmpc.com

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Name:___________________________________________________________

School/Org:_______________________________________________________

Address:_________________________________________________________

City: ____________________________________State:_____ Zip:___________

Phone:_______________Fax:______________ E-mail:____________________