Fax Order Form
Fax your order directly to
Synapse.
PRINT this form on your printer, neatly fill in the
information, and
FAX the completed form
to (415) 455-9801.Your order will be confirmed and fulfilled upon receipt.
To: Synapse Sales Order Fulfillment Fax: (415) 455-9801 Today's Date _______________________ |
Synapse 14 Lynn Court San Rafael, CA 94901 phone: 415 455 9700 toll-free: 800-317-9611 Questions? Send us email info@synapseadaptive.com |
| Name | |
| Company | Title |
| Billing Address | |
| Street | |
| City | State & Zip |
| Telephone | Fax |
| Email Address | |
| Shipping Address (if different) | |
| Street | |
| City | State & Zip |
| Billing Information | |
| Card Number (MC, VISA or AMEX ) | Expiration Date |
| Authorized Signature |
|
RETAIL PRICE |
QTY |
WEB PRICES |
EXTENDED |
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Speech Recognition Software |
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899.00 |
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249.00 |
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1,199.00 |
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1,499.00 |
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Dragon NaturallySpeaking Mobile: NaturallySpeaking Preferred and a SONY Digital Recorder |
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449.00 |
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Dragon NaturallySpeaking Mobile: NaturallySpeaking Medical and an Olympus DS4000 digital recorder, does not include a headset microphone. |
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1,799.00 |
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Speech Recognition Multiple Licenses |
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Please Call |
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Speech Recognition Accessories |
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TalkPro Basic Microphone - Wired - Monaural |
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74.00 |
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NA |
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119.00 |
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125.00 |
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Headset Switcher™ Multimedia Amplifier MX10 Microphone-telephone |
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165.00 |
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139.00 |
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Language Translation Software |
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399.00 |
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999.00 |
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249.00 |
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@promt Expert Language Pairs |
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499.00 |
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Synapse ADA Workstations |
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Synapse ADA Full-Compliance Workstation |
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QUOTE |
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Synapse ADA Full-Compliance Library Workstation |
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QUOTE |
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Synapse ADA Full-Compliance Special Needs Lab Workstation |
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QUOTE |
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Low Vision Software |
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395.00 |
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595.00 |
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ZoomText Magnifier Single Network version 9.x |
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595.00 |
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ZoomText Magnifier/Reader Single Network version 9.x |
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795.00 |
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ZoomText Multi-User Licenses |
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ZoomText Magnifier Network 5 Users |
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1,595.00 |
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Magnifier Network Add-on 5 Users |
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795.00 |
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ZoomText Magnifier/Reader Network 5 Users |
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2,395.00 |
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Magnifier/Reader Network Add-on 5 Users |
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1,195.00 |
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ZoomText Magnifier District 5 Users |
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1,595.00 |
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Magnifier District Add-on 5 Users |
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1,195.00 |
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ZoomText Magnifier/Reader District 5 Users |
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2,395.00 |
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Magnifier/Reader District Add-on 5 Users |
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1,795.00 |
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DECtalk PC Speech Synthesize External |
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1,195.00 |
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Cicero |
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NA |
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Hal Screen Reader Standard |
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NA |
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Hal Screen Reader Pro |
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NA |
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Lunar Plus - Magnify & Read |
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NA |
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Supernova Pro - Magnify, Read and Braille |
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NA |
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Window-Eyes Pro |
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795.00 |
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Window-Eyes 5 user site license, Education/Government |
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2,385.00 |
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Window-Eyes 5 user site license, Commercial |
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3,180.00 |
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Braille Translation Software |
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540.00 |
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325.00 |
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595.00 |
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645.00 |
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750.00 |
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Duxbury Braille Board for sign making in Windows (includes scaleable Braille font) |
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595.00 |
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Ergonomic Hardware (specify track length) |
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490.00 |
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490.00 |
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505.00 |
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415.00 |
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415.00 |
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430.00 |
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365.00 |
|
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325.00 |
|
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340.00 |
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475.00 |
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475.00 |
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490.00 |
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1,695.00 |
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995.00 |
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Ergonomic Chairs |
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BioForm KT w/ Knee Tilt Rocking Function |
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from 599.00 |
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BioComfort Chair |
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from 489.00 |
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BioComfort Chair w/ leather |
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from 1,039.00 |
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BioSupport Chair |
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from 467.00 |
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Ergonomic Tables or Workstations |
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VeriTask Basic Single Surface, w/ adjustable hand crank (36x30, laminate) #205 |
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1,000.00 |
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VariTask Basic: Dual surface adjustable height, with DataCenter keyboard mechanism (36x30, laminate) #205WL |
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1,685.00 |
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VariTask Basic: Dual surface Corner unit, with DataCenter keyboard mechanism (42x30, laminate) #250WL |
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1,709.00 |
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Power Adjustable |
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VariTask E-Series: Rectangular Desk top, single column with single surface (30x36, laminate) #605L |
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1,519.00 |
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VariTask E-Series: Rectangular, Dual Surface with Full Width keyboard (30x36, laminate) #605WL |
|
|
NA |
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VariTask E-Series: Hexagonal Corner Unit (42x30, laminate) #650L |
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1,892.00 |
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Braille Displays |
|
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ALVA 544 Satellite Traveler |
|
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5,195.00 |
|
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|
|
8,995.00 |
|
|
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ALVA Satellite Pro 584 |
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9,995.00 |
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Juliet Pro 60 |
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4,495.00 |
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2,995.00 |
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3,995.00 |
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1,495.00 |
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OneTouch 8650 Scanner |
|
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299.00 |
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Creativity Tools |
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Access Bundle #4: Includes: IntelliKeys USB and Overlay Maker 3 |
|
|
510.00 |
|
|
Access Bundle #5: Includes: Intellikeys USB, OverlayMaker 3 and Classroom Suite (IntelliTalk 3, IntelliMathics 3, IntelliPics Studio 3) |
|
|
799.00 |
|
|
Access Bundle #6: Includes OverlayMaker 3, Classroom Suite |
|
|
439.00 |
|
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395.00 |
|
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Overlay Maker 3 Mac/Win |
|
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139.95 |
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Software Access |
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SwitchIt! Arcade Adventure Win/Mac |
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|
200.00 |
|
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Curriculum Resources |
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Classroom Suite: IntelliTalk 3, IntelliMathics 3, IntelliPics Studio 3 |
|
|
345.00
|
|
|
Classroom Suite Five Pac |
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|
NA |
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IntelliKeys Accessories |
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Switches - TASH Switches Buddy Buttons |
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|
44.00 |
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$200.00 Minimum Order |
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Attainment Products -
Special Education |
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Community Access |
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Toward Independence CD-Rom Windows, Macintosh |
|
|
159.00 |
|
|
Picture Cue Dictionary Bundle CD-Rom - Windows, Macintosh |
|
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189.00 |
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|
Looking for Words CD-Rom - Windows, Macintosh |
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|
99.00 |
|
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Attainment Products - Special Education |
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Math and Reading |
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Basic Concepts Bundle - Mac/Win |
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|
99.00 |
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Dollars and Cents CD - Win/Mac |
|
|
79.00 |
|
|
|
|
599.00 |
|
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Show Me Math - Addition/Subtraction, Multiplication, Division CD - Mac/Win |
|
|
99.00 |
|
|
Reading Lesson Bundle (w/ Story Book &Sounds of Letters) CD-Rom - Win/Mac |
|
|
249.00 |
|
|
Show Me Spelling CD-Rom - Mac/Win |
|
|
129.00 |
|
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Words Around Me CD-Rom - Macintosh |
|
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199.00 |
|
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Speech and Language |
|
|
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849.00 |
|
|
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Survival Signs System CD-Rom - Windows, Macintosh |
|
|
99.00 |
|
|
Word Wise Package CD-Rom Mac/Win |
|
|
129.00 |
|
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Touch Windows |
|
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Touch Window 15" Mac/Win |
|
|
335.00 |
|
|
Touch Window 17" Mac/Win |
|
|
365.00 |
|
|
Edmark |
|
|
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|
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Edmark Reading Program Level 1 |
|
|
499.00 |
|
| Edmark Reading Program Level 2 | 499.00 | |||
|
Edmark Reading Program Site License |
|
|
5,400.00 |
|
| WYNN | ||||
| WYNN Wizard Single User | 950.00 | |||
| WYNN Reader Single User | 375.00 | |||
| Network WYNN Wizard Per License (1 to 4 Floating Licenses) | 1,095.00 | |||
| Network WYNN Reader Per License (1 to 4 Floating Licenses) | 475.00 | |||
| $200.00 Minimum Order | ||||
|
SUBTOTAL |
|
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|
SALES TAX |
|
|
|
|
|
Shipping, handling and
insurance |
|
|
14.95 |
|
|
TOTAL |
|
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|
Federal Tax ID# 680344980