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Software Options Price Maintenance & Email Support Phone Support (Maintenance & Email Support is Required) CORTRAK® Single Computer, single user* $995.00 $225.00/yr *** $175.00 CORTRAK® Network Version 5 Users ** $1245.00 $340.00/yr *** $300.00 CORTRAK® Network Version 10 Users** $1495.00 $500.00/yr *** $600.00 Additional 5 Users $250.00 $50.00/per user $60.00/per user CORTRAK® Plus      Click here to Contact Us  Shipping & Handling: $18.00 Download Total: CORTRAK® Doc      Click here to Contact Us     * The term Single computer means you will be installing the software on one computer and only one person at a time can use the software. ** The Network Version means that the data files will be located on a network server and you may have more than one computer a time using the software. *** A maintenance contract is required.   Required fields are in bold.  Billing Information First Name: Last Name: Company: Address 1: Address 2: City: State: --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Dist of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip/Postal Code: Phone: Fax: Email Address:       Shipping Information Same as Billing?   First Name: Last Name: Company: Address 1: Address 2: City: State/Province: --Select State-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Dist of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip/Postal Code: Please Enter the Numbers at right      Payment Information Payment Type: --Select Method-- VISA MASTERCARD DISCOVER AMERICAN EXPRESS INVOICE PURCHASE ORDER Purchase Order #: We Accept: Card Number #: ID help Expiration Date: Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 2008 2009 2010 2011 2012 2013 2014 2015 2016