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 _______________________
Federal Tax ID# 680344980
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
Speech Recognition Software
899.00
249.00
1,199.00
1,199.00
Dragon NaturallySpeaking Mobile: NaturallySpeaking Preferred and a SONY Digital Recorder
449.00
Dragon NaturallySpeaking Mobile: NaturallySpeaking Medical and an Olympus DS4000 digital recorder, does not include a headset microphone.
1,299.00
Speech Recognition Multiple Licenses
Please Call
Speech Recognition Accessories
TalkPro Basic Microphone - Wired - Monaural
74.00
110.00
119.00
125.00
Headset Switcher™ Multimedia Amplifier MX10 Microphone-telephone
165.00
139.00
Language Translation Software
399.00
999.00
249.00
@promt Expert Language Pairs
499.00
Synapse ADA Workstations
Synapse ADA Full-Compliance Workstation
QUOTE
Synapse ADA Full-Compliance Library Workstation
QUOTE
Synapse ADA Full-Compliance Special Needs Lab Workstation
QUOTE
Low Vision Software
395.00
595.00
ZoomText Magnifier Single Network version 9.x
595.00
ZoomText Magnifier/Reader Single Network version 9.x
795.00
ZoomText Multi-User Licenses
ZoomText Magnifier Network 5 Users
1,595.00
Magnifier Network Add-on 5 Users
395.00
ZoomText Magnifier/Reader Network 5 Users
2,395.00
Magnifier/Reader Network Add-on 5 Users
595.00
ZoomText Magnifier District 5 Users
1,595.00
Magnifier District Add-on 5 Users
795.00
ZoomText Magnifier/Reader District 5 Users
2,395.00
Magnifier/Reader District Add-on 5 Users
1,195.00
DECtalk PC Speech Synthesize External
1,195.00
Cicero
395.00
Hal Screen Reader Standard
795.00
Hall Screen Reader Pro
1,095.00
Lunar Plus - Magnify & Read
595.00
Supernova Pro - Magnify, Read and Braille
1,495.00
Window-Eyes Pro
795.00
Window-Eyes 5 user site license, Education/Government
2,385.00
Window-Eyes 5 user site license, Commercial
3,180.00
Braille Translation Software
540.00
325.00
595.00
645.00
750.00
Duxbury Braille Board for sign making in Windows (includes scaleable Braille font)
595.00
Ergonomic Hardware (specify track length)
490.00
490.00
505.00
415.00
415.00
430.00
365.00
325.00
340.00
475.00
475.00
490.00
1,695.00
995.00
Ergonomic Chairs
BioForm KT w/ Knee Tilt Rocking Function
from 599.00
BioComfort Chair
from 489.00
BioComfort Chair w/ leather
from 1,039.00
BioSupport Chair
from 467.00
Ergonomic Tables or Workstations
VeriTask Basic Single Surface, w/ adjustable hand crank (36x30, laminate) #205
926.00
VariTask Basic: Dual surface adjustable height, with DataCenter keyboard mechanism (36x30, laminate) #205WL
1,560.00