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STAT-USA®/Internet™ Your trusted source for federal business, trade, and economic information! |
Site License Order Form | |
STAT-USA/Internet Site License Order Form
(Rates in U.S. dollars and are subject to change) Please select products below and mail or fax this form to: STAT-USA Fax: (202) 482-2164 HCHB Room 4879 Voice numbers: U.S. Department of Commerce (202) 482-1986 Washington, DC 20230 1-800-STAT-USA Federal ID Number: 52-1259974 1-800-782-8872 STAT-USA/Internet (http://www.stat-usa.gov): Institution Type (please select one and fill in the corresponding pricing requirements): Educational (4-year program) ____ FTE Undergraduate: ____ x $.30 = _________ FTE Graduate: ____ x $.45 = _________ Community College (2-year program) ____ FTE Students: ____ x $.20 = _________ Library ____ Number of Workstations: ____ x $10.00 = _________ Standard (non-educational) ____ Number of Users: ____ $600 per 10 users = _________ TOTAL COST: __________________ Maximums, Minimums, and Rounding: The minimum charge is $500 and prices are rounded up to the nearest $50. The maximum charge is $8,000 for an Educational or Community College, $7,000 for a Library, and $100,000 for a Standard license. METHOD OF PAYMENT: (__) Credit card: (__) American Express (__) VISA (__) MasterCard (__) Discover Credit card number _________________________________ Exp Date ___________ Name ____________________________________________________________________ Signature _______________________________________________________________ (__) Check or money order payable to "STAT-USA" -- DO NOT FAX THESE! MAILING ADDRESS: Contact name ___________________________________________________ E-mail address (required) ______________________________________________ Company name ___________________________________________________ Street address ___________________________________________________ ___________________________________________________ City, State, ZIP ___________________________________________________ Country (if not USA) ___________________________________________________ Day-time phone (_____) _____________________________________________ Fax number (_____) _____________________________________________ Numeric IP addresses (required for Shared Access Account): ______________________________________________________________________ ______________________________________________________________________ |