International Foundation for Sonography Education and Research

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International Foundation for Sonography Education and Research 914- l64~ Street S.E., Suite 274, Miii Creek, WA 98012 Tel: (520) 300-2222 / Fax: (888) 488-6598 Date:

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Purchase order

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Name: Company: Shipping Address: City:

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Phone:

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State:

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Zip Code:

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E-mail: ____________________________________

The SCAN® is a comprehensive evaluation tool used in the classroom and workplace, aiding in the evaluation of clinical competencies of sonographers, echocardiographers, vascular technologists, radiographers, and residents. Instructions for utilization, tailoring and integrating the SCAN into your system, and continuing education record forms can be found in a downloadable PDF format on our web site (http://ifser.org). Student forms include affective and psychomotor proficiencies, ongoing progress record of scanning competencies, clinical log forms, specialty specific clinical experience records, and blank proficiency forms. Item #

Specialty

9800 NEW!

The SCAldS Abdominal Package

9801 NEW!

USI) Cost Per Unit $85

(Includes The SCAN Binder, Professional Qualities. Abdomen! Superficial Structures! Breast, OB, Advanced Fetal Cardiac, Vascular) The SCAld5 Cardiac Package

$75

(includes The SCAN Binder, Professional Qualities, Adult Cardiac, Pediatric Cardiac, Advanced Fetal Cardiac, and Vascular)

9802

The SCAN® Binder! Professional Qualities

$25

9803

Abdomen / Superficial Structures I Breast

$25

9804

Adult Cardiac

$20

9805

Advanced Fetal Cardiac

$20

9806

Neurosonology

$20

9807

Obstetrics/Gynecology

$20

9808

Pediatric Cardiac

$20

9809

Vascular

$20 Subtotal

20% Shipping/Handling charge

Shipping

WA residents add 9.5% for sales tax

Tax ~A only) Total

Rev. 5-2011

Purchase

International Foundation for Sonography Education and Research 914-

164th

Street S.E., Suite 274, Mill Creek, WA 98012

PAYMENT METHOD Purchase order



bill separately ***For schools and bookstores only***

Check or Money Order enclosed in the amount of

$__________________

(Payable to IFSER, drawn on U.S. Bank, and payable in U.S. funds.)

Card Number:

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Exp. Date:

CVC #:

Billing address for card statements if different from shipping address:

&at

Signature: (Required on all orders after reading the policies below.) Pricing: Prices are subject to change without notice. Please call to check availability and pricing. Refund Policy: IFSER offers a 30-day money-back guarantee on products. All components of the product must be returned in the original and unused conditioning in the unopened shrink wrap. For returned orders of The SCAN, there is a 20% restocking fee. Shipping and Handling fees are non-refundable. All shipping costs are the responsibility of the purchaser. Returns: To return the product, indicate a reason for the return on the invoice, enclose invoice, and ship via traceable method to the IFSER warehouse: IFSER 914 164th Street S.E. Suite 274 Mill Creek, WA 98012 -

Rev. 5-2011

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