To place your order, you can order on-line or to order by mail , print this form, complete the CUSTOMER INFORMATION section below and mail to:

 

QUALITY SYSTEMS INNOVATIONS, INC.
111 Meadow Drive
Effort, PA 18330
USA
                      

CUSTOMER INFORMATION

____________________________________________________________________________
NAME        
                                                                                               
____________________________________________________________________________
TITLE
____________________________________________________________________________
COMPANY
____________________________________________________________________________
STREET ADDRESS 
____________________________________________________________________________
CITY                                                                STATE                        ZIP/POSTAL CODE   
____________________________________________________________________________
COUNTRY
____________________________________________________________________________
PHONE                                                  FAX                                          E-MAIL
   
                                                                                                                                                                                                                                                                                                          
Please specify item(s) you require:

Description

Price

QTY

ISO 9001 Quality Manual for Manufacturers $299.00  
ISO 9001 Quality Manual for Services $299.00  
Quality Manual for Medical Devices $399.00  
Software Quality Assurance Manual $399.00  
ISO 13485 Quality Manual $399.00  
ISO 13485 Quality Manual for Medical Device Software$449.00
ISO/IEC 17025 Quality Manual $299.00  
IATF 16949 Quality Manual $379.00  
ISO Internal Auditor Training for Small Business Kit $149.00  
Supplier Certification and Management Program $399.00  
Supplier Evaluation Kit $89.00  
Foreign Supplier Verification Program $349.00  
ISO 15189 Quality Manual$340.00
ISO/IEC 17020 Quality Manual
$340.00

Sales tax-6% (PA only) _____

Total (with order) _____

 
                                                                                                               

Payment: Orders from outside the US must be prepaid in US dollars, check or money order, or bank wire transfer. 

PURCHASE ORDER #: ___________________

BANK WIRE TRANSFER:  _____ (Check here and, we will send you the applicable bank information.) 

Signature: _______________________________  Date Signed: ________________