ASK - INDIVIDUAL PARTICIPANT Purchase Order Form

INDIVIDUAL PARTICIPANT

Purchase Order Form

A.S.K. Data Systems, Inc
P.O. Box #766
Manchester, MO 63011

ORDERING INSTRUCTIONS.
All orders will be emailed to us when the Submit Box is clicked. All Content and Shipping information fields are required. All orders will receive an order confirmation and shipping advice. To expedite delivery, U.S. Orders may be printed and mailed to us with payment in the form of personal check, commercial or postal money order or cashiers check to A.S.K. Data Systems, Inc., P.O. Box #766, Manchester, MO 63011. Non-U.S. Orders will have their remittance and shipping information placed in their Order Confirmation Email.

For technical and other support telephone 800-292-7211 or (US CODE +) 636-225-7211.

Want to earn money as a referral fee? Use our special instructions box to say “Yes. I DO” and ASK will contact you for the details of this Individual Benefits Program.

		Contact Information
	Name:
	Address:
	City:
	State:	Zip/PC:
	Country:
	Phone:
	e-mail:
		Shipping Information Same as above
	Name:
	Address:
	City:
	State:	Zip/PC:
	Country:
	Phone:
	Date Needed:
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	Please enter Resource Discount Code, if applicable:

Description	STUDENT “KIT”	Extended
ANATOMY OF A THEORY	90.00
CASE MANAGEMENT	88.00
CRITICAL THINKING SKILLS (SMARTPRIM)	90.00
ETHICS (ETHICPRIM)	90.00
QUALITATIVE RESEARCH (QUALGRAD) GRADUATE, MASTERS & DOCTORAL LEVEL	90.00
QUANTITATIVE RESEARCH UNDERGRADUATE(SOFPRIM)	85.00
QUANTITATIVE RESEARCH GRADUATE (SOFPRIM)	88.00
STATISTICS (STATPRIM) BASIC STATISTICS UNDERGRADUATE LEVEL, REMEDIAL/REFRESHER INDPENDENT STUDY GRAUDATE, MASTERS & DOCTORAL LEVELS	90.00
ALZHEIMER'S DISEASE AND RELATED DIMENTIAS	80.00
END OF LIFE CARE	85.00
GERONTOLOGY I - BASIC	88.00
GERONTOLOGY II - INTERMEDIATE	90.00
SENIOR HOUSING	75.00
PUBLIC HEALTH THE ESSENTIALS	90.00
PUBLIC HEALTH DISEASE CONTRL	90.00
PUBLIC HEALTH ENVIRONMENT	90.00
PUBLIC HEALTH EPIDEMIOLOGY	90.00
PUBLIC HEALTH STATISTICS	90.00
COMMUNITY ASSESSMENT (COMHEALTH II)NEW 2009 UNDERGRADUATE	90.00
HOME HEALTH I (BASIC)	90.00
HOSPICE I (BASIC)	90.00
RURAL HEALTH (GENERAL)	90.00
PARISH/FAITH BASED NURSING CARE	90.00
PASTORAL CARE (2009)	105.00
SPIRITUALITY IN NURSING (2009)( J.A.C.H.O TEST PREPARATION)	TBD
AGING IN RURALITY - BUCKSPORT (ISM MODULE)	50.00
RELAXATION TIME OUT JUST FOR YOU DVD	35.00
PSYCH-MENTAL BASIC PART I (2009) AD & UNDERGRADUATE LEVELS	TBD
	Total

    Note: Prices include all shipping for sales shipped to US addresses. Shipping, insurance and packaging charges will be determined for all non-US shipments with all non-US clients receiving those charges via email order confirmation. All non US shipments are scheduled, unless otherwise indicated, by Air. Local customs fees, if any, are the responsibility of the client. Contact ASK if your order requires any other special handling.

   Special Instructions: