a Multimedia Arts Production 
 copyright Multi-media Access, Inc 2005

             Order Form          mmax@multi-mediaaccess.com

Order by mail                                         -  or    Call In Your Order To:
print this form, fill out and mail to:              1-800-pic-mmax  or 1800-742-6629 or 847-382-0487
    Multi-Media Access, Inc.                       -  or    FAX YOUR ORDER TO:
    PO Box 394                                                   1-847-382-0776
    Barrington, IL 60011-0394                      -  or   Fill out the form on-line, then click here to e-mail
                                       
Date:  mm/dd/yyyy _______________    Purchase Order #: __________________________
Ship to:                                                        Bill To:
       Co: _______________________________       ____________________________________

    Addr: _______________________________       ____________________________________

               _______________________________       ____________________________________  

Cty, St, Zip: ____________________________      ____________________________________   
Name:
Contact: ___________________________  Contact email: ____________________________

Phone: _____________________________  FAX: ____________________________________

Card #: _________________________________________  Exp. ________________________

Bill to Zip Code:   _____________   Credit Card Type:   AMX,    MC,   Visa,   DC

Item #                 Title       Please circle your  item choices.      ## Format   Qty   Price
VAL1 Introduction to Validation Series                              ## (Tape) $995
VAL1 Introduction to Validation Series                              ## (DVD) $995
VAL1 Introduction to Validation Series                              ## (BOTH) $1245
GMPcd Introduction to GMPs-Multimedia                              CD ROM $695
GMP1 Intro. to GMPs with new Documentation section       ## (Tape) $495
GMP1 Intro. to GMPs with new Documentation section       ## (DVD) $495
GMP1 Intro. to GMPs with new Documentation section       ## (BOTH) $745
GMP1r Intro. to GMPs with Doc sec. (Replacement**)           ## (Tape) $200
GMP1r Intro. to GMPs with Doc sec. (Replacement**)           ## (DVD) $300
GMP1r Intro. to GMPs with Doc sec. (Replacement**)           ## (BOTH) $550
GMPF Intro. to GMPs for Food Production (New)                 ## (Tape) $695
GMPF Intro. to GMPs for Food Production (New)                 ## (DVD) $695
GMPF Intro. to GMPs for Food Production (New)                 ## (BOTH) $945
GMPFcd Intro. to GMPs for Food Production (New)                 CD-ROM $695
2001 Pharmaceutical Training Series, Vol. 1 (3 video set)       ## (Tape) $795
2001 Pharmaceutical Training Series, Vol. 1 (set)                  ## (DVD) $795
2001 Pharmaceutical Training Series, Vol. 1 (set)                  ## (BOTH) $1245
2301 Pharmaceutical Training Series, Vol. 1 (set) (SPANISH) ## (Tape) $995
2301 Pharmaceutical Training Series, Vol. 1 (set) (SPANISH) ## (DVD) $995
2301 Pharmaceutical Training Series, Vol. 1 (set) (SPANISH) ## (BOTH) $1445
2100       Vol. 1.1 - Last Exit From the GMP Zone                  ## (Tape) $395
2100       Vol. 1.1 - Last Exit From the GMP Zone                  ## (DVD) $395
2100       Vol. 1.1 - Last Exit From the GMP Zone                  ## (BOTH) $895
2101       Vol. 1.1s - Last Exit From the GMP Zone (Spanish) ## (Tape) $395
2101       Vol. 1.1s - Last Exit From the GMP Zone (Spanish) ## (DVD) $395
2101       Vol. 1.1s - Last Exit From the GMP Zone (Spanish) ## (BOTH) $645
2200       Vol. 1.2 - Unsolved Pharmaceutical Mysteries          ## (Tape) $349
2200       Vol. 1.2 - Unsolved Pharmaceutical Mysteries          ## (DVD) $349
2200       Vol. 1.2 - Unsolved Pharmaceutical Mysteries          ## (BOTH) $599
2201       Vol. 1.2s - Unsolved Pharm' Mysteries (Spanish)     ## (Tape) $395
2201       Vol. 1.2s - Unsolved Pharm' Mysteries (Spanish)     ## (DVD) $395
2201       Vol. 1.2s - Unsolved Pharm' Mysteries (Spanish)     ## (BOTH) $645
2301       Vol. 1.3 - PIN News, 1 The Farquad Decision           ## (Tape) $349
2301       Vol. 1.3 - PIN News, 1 The Farquad Decision           ## (DVD) $349
2301       Vol. 1.3 - PIN News, 1 The Farquad Decision           ## (BOTH) $599
2302       Vol. 1.3s - PIN News, 1The Farquad Dec. (Spanish) ## (Tape) $395
2302       Vol. 1.3s - PIN News, 1The Farquad Dec. (Spanish) ## (DVD) $395
2302       Vol. 1.3s - PIN News, 1The Farquad Dec. (Spanish) ## (BOTH) $645
2304       Vol. 1.4 - PIN News, 2, The Bertram Barker Decision## (Tape) $349
2304       Vol. 1.4 - PIN News, 2, The Bertram Barker Decision## (DVD) $349
2304       Vol. 1.4 - PIN News, 2, The Bertram Barker Decision## (BOTH) $599
3100 Pharm. Training Ser. V 2 "No Problem" Part I & II (set) ## (Tape)   $795  
3100 Pharm. Training Ser. V 2 "No Problem" Part I & II (set) ## (DVD)   $795  
3100 Pharm. Training Ser. V 2 "No Problem" Part I & II (set) ## (BOTH)   $1245  
4000 Pharm. Training Ser. V 3 "Snapshots" Part I & II (set)   ## (Tape)   $795  
4000 Pharm. Training Ser. V 3 "Snapshots" Part I & II (set)   ## (DVD)   $795  
4000 Pharm. Training Ser. V 3 "Snapshots" Part I & II (set)   ## (BOTH)   $1245  
5100 Pharm. Training Ser. V 4 "The Letter" Part I & II  (set)  ## (Tape)   $795  
5100 Pharm. Training Ser. V 4 "The Letter" Part I & II  (set)  ## (DVD)   $795  
5100 Pharm. Training Ser. V 4 "The Letter" Part I & II  (set)  ## (BOTH)   $1245  
FOR1
  Foreign video format (per tape)  Please Circle:   PAL      SECAM
   $150 ........
Subtotal (Don't forget to select your formats; both for as little as  $250 more)
 $__________
Shipping $9.95 for 1 tape or CD: $14.95 for two tapes: 18.95 for three $__________

IL Sales tax - (6.5%) Illinois Companies only $__________

International Shipping starts at $36.95
$  
TOTAL
$__________
                                  Orders are shipped within 72 hours.  ** Orders with replacement
   Product Menu                   GMP1r cannot be shipped until we receive your old tape.
Your suggestions for new products always welcome.   Please fax or email your suggestions. to: mmax@multi-mediaaccess.com

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