Please print this form and mail(fax) it to the address below.

Name:  Title:
Organization:
Address 1:
Address 2:
City, State, Zip:
 
Phone:  Fax:
E-mail:

Order Options:
(For more than 5 users or classroom use, please call SI for special discount packages: +1.617.489.4490)

Order Options Unit Price
(All prices in US dollars)		 Quantity Amount
Latent GOLD® 4.0 Basic+Advanced license and
SI-CHAID® 4.0 license		 $1490 1st combination license
$1290 for each additional combination license		    
Latent GOLD® 4.0 Basic license***
 $995 1st license
$895 for each additional license		    
Latent GOLD® 4.0 Basic Upgrade license
 $395 if purchased August 2004 or later
$495 if purchased January - August 2004
$595 if purchased before January 2004		    
Latent GOLD® 4.0 Advanced Option*** $200    
Latent GOLD® 4.0 Basic+Advanced Academic license
(professors or full-time students at an accredited university)		 $595 1st license;
$495 for each additional license 		   
Latent GOLD® 4.0 Basic+Advanced Academic Upgrade
(professors or full-time students at an accredited university)		 $295 1st license;
$195 for each additional license 		   
Latent GOLD DBMS/COPY Option $100    
Latent GOLD Printed User & Technical Guides $100    
SI-CHAID® 4.0 license***
 $995 1st license;
$895 for each additional license		    
SI-CHAID® 4.0 Academic license
(professors or full-time students at an accredited university)		 $695 1st license;
$595 for each additional license		    
SI-CHAID® 4.0 license upgrade Free    
SI-CHAID DBMS/COPY Option $100    
SI-CHAID Printed User & Technical Guides $100    
Latent GOLD® 4.0 Choice 1 Year license
 $1,195 1st license;
$1,095 for each additional license		    
Latent GOLD® 4.0 Choice Renewal
 $995 1st license;
$895 for each additional license		    
Latent GOLD® 4.0 Choice Advanced Option $200    
Latent GOLD® 4.0 Choice 1 Year Academic license
(includes Advanced Option)		 $695 1st license;
$595 for each additional license		    
Latent GOLD® 4.0 Choice Academic Renewal
(includes Advanced Option)		 $495 1st license;
$395 for each additional license		    
Latent GOLD Choice DBMS/COPY Option $100    
Latent GOLD Printed User & Technical Guides $100    
GOLDMineR® license
 $695 1st license
$595 for each additional license		    
GOLDMineR® Academic license
(professors or full-time students at an accredited university)		 $395    
Taxable Subtotal  
(Massachusetts businesses and universities must pay a 5% sales tax.) MA Tax  
Extended Support $500 per user per year    
Subtotal  
($10 for USA; $25 for Mexico or Canada; or $40 outside North America) Shipping  
Total  

**A $500 discount is applied to each combined Latent GOLD / SI-CHAID purchase.
***A $295 discount is applied to the first combined Latent GOLD / SI-CHAID Academic purchase and a $95 discount for additional combination purchase.
Check or money order attached

Credit Card: Visa       MasterCard       American Express
Card #:
Expiration Date:
3 Digit Security Code:
  
Signature:__________________________________________________________


** All sales are final
Mail order to:
Statistical Innovations Inc.
P.O. Box 1
Belmont, MA 02478		 Or fax order to:
+1.617.489.4499		 Or call:
+1.617.489.4490