Price List and Order Form - PDF

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           NeuroTek                        Price List and Order Form                                            prices effective through 06/30/2010
                       MODEL & ACCESSORIES                                                                            Price x Qty = $ Total
Advanced LapScan 4000 **Visual, Tactile/any Auditory w/standard pulsers                                             $579.00
  Substitute new Mega pulsers with Advanced LapScan 4000                    add                                      $18.00
  Advanced LapScan 4000 Custom Carrying Case                                                                         $42.00
  CD Player for EyeScan music, Adv. LapScan 4000 and Adv Tac/AudioScan                                               $29.95
  LapScan Adjustable Table Easel                                                                                     $10.95
EyeScan Deluxe–Blue/Green/Red Visual, Tones/Music/Tactile w/standard pulsers                                        $629.00
EyeScan 4000 Blue-Visual, Auditory/Tactile - Blue lights w/standard pulsers                                         $559.00
EyeScan 4000 Visual, Auditory/Tactile-Standard Green lights w/standard pulsers                                      $529.00
  Substitute new Mega pulsers with any EyeScan above                        add                                      $18.00
EyeScan 2000 Visual/Auditory - Standard Green lights                                                                $429.00
  EyeScan Custom Carrying Case                                                                                       $42.00
  EyeScan 4000 Music option (factory installed) Add cost to EyeScan 4000                                             $49.00
  CD Player for EyeScan music, Adv. LapScan 4000 and Adv Tac/AudioScan                                               $29.95
Advanced Tac/AudioScan ** Tactile/any Auditory you want w/standard pulsers                                          $199.00
  CD Player for EyeScan music, Adv. LapScan 4000 & Adv Tac/AudioScan                                                 $29.95
 Tac/AudioScan with headphones, pulsers, case/battery w/standard pulsers                                            $115.00
   Substitute new Mega pulsers with Basic or Advanced Tac/AudioScan         add                                      $18.00
   Replacement Tactile Pulsers –original standard version                                                            $ 29.95
   Replacement Mega Tactile Pulsers                                                                                  $ 49.95
   A.C. Adapter – Allows plug-in operation from permanent power source                                               $ 12.95
Additional Accessories
   Replacement Remote Control (LapScan/EyeScan please specify product)                                                $ 39.95
   A.C. Adapter – Specify which product to be used with                                                               $ 12.95
   Extra Headphones (One pair included with all instruments)                                                           $ 9.95
   Headphone Extender Cable (10-12ft. length)                                                                          $ 9.95
   Extra Headphone foam covers (Pair)                                                                                  $ 0.50
   Replacement audio cable                                                                                              $9.95
   Replacement Mega pulser cable                                                                                      $10.95
Clinician Name:                                                                               See Table Below       Ship/Handling
Address:                                                                                                            If residential add $2
Address:                                                                                                                     Subtotal
City                                                                         Colorado addresses only add tax        If Colorado=>X.046
State/Zip                                                                                                                     TOTAL
Day Phone                            E-mail
EMDR Instructor , Date and Level of Training:
       Payment Type:       Visa !       MasterCard !           American Express !        Check/Money Order payable in US funds !
       Card #                    -               -                -                   Exp:                     CVV code
       Signature:                                                      Agree to pay total in USD as shown in TOTAL above
                  ESTIMATED SHIPPING & HANDLING INFORMATION – INCLUDE IN TOTAL, ABOVE
         UPS Ground Continental US only Priority Post to Canada 6-10 day        Express Post to Canada 3-5 days
              If your order total is          If your order total is                   If your order total is
        Greater       and less          Add           Greater         and less       Add           Greater      and less
         than          than           shipping         than            than        shipping         than         than        Add shipping
       $.00         $10.00           $7.25           0            $30.00         $22.00           $0.00       $125.00        $35.00
       $10.00       $80.00           $9.25           $30.00       $200.00        $26.00           $125 .00    $350.00        $47.00
       $80.00       $300.00          $11.00          $200.00      $350.00        $28.00           $350.00     $700.00        $62.00
       $300.00      $700.00          $15.00          $350.00      $700.00        $35.00           $700.00       Contact      NeuroTek
       $700.00         Contact       NeuroTek        $700.00        Contact      NeuroTek
          * NeuroTek will adjust shipping charges if necessary - For 2nd Day & Next Day U.S. delivery call NeuroTek for charges
          All prices listed are in US dollars (Additional customs charges and/or local tax may be due upon delivery outside the US.)
          If shipping to a residence or a business in a residential area add $2.00 to shipping total
                 12100 West 52nd Ave. # 116, Wheat Ridge CO 80033 ! E-mail:emdrtools@neurotekcorp.com