StrateCision LTC Software Order Form

1. Please tell us about yourself:

First Name:     Last Name: 
Title: 
Company:  
Address1: 
Address2: 
City:  State:    Zip:   
Phone:    Fax:  
E-mail: 
Have you purchased anything from us before ? Yes   No
      If YES, what was your serial number ?
      If NO, how did you hear about us ?


2. Please enter the quantity for each product you want to order.

ComboCompare Products:

ITEM

Price

Quantity

Subtotal $

ComboCompare (without other current license)

 $399.95 
ComboCompare Plus (with current license for Advisor Plus or Quote)

 $299.95 
ComboCompare MGA Upgrade

 $200.00 

LTC Advisor Plus Products:

ITEM

Price

Quantity

Subtotal $

LTC Advisor Plus (can be purchased & downloaded online)

 $299.95 
LTC Advisor Plus MGA (For General Agents)

 $499.95 
LTC Advisor Plus California Supplement*

 $79.95 
LTC Advisor Plus Connecticut Supplement*

 $79.95 
LTC Advisor Plus New York Supplement*

 $79.95 
LTC Advisor Plus MGA Upgrade*

 $200.00 
* Supplements and upgrades require current version of LTC Advisor Plus

LTC Quote Products:

ITEM

Price

Quantity

Subtotal $

LTC Quote (can be purchased & downloaded online)

 $299.95 
LTC Quote MGA (For General Agents)

 $499.95 
LTC Quote California Supplement **

 $79.95 
LTC Quote Connecticut Supplement **

 $79.95 
LTC Quote New York Supplement **

 $79.95 
LTC Quote Short Term Care Supplement **

 $99.95 
LTC Quote MGA Upgrade **

 $200.00 
LTC Quote Group Upgrade **

 $200.00 
** Supplements and upgrades require current version of LTC Quote

Tablet Products:

ITEM

Price

Quantity

Subtotal $

LTC Online 150 (Tablet - requires current license for Advisor Plus or Quote)

 $99.00 
LTC Online 300 (Tablet - requires current license for Advisor Plus or Quote)

 $179.00 
LTC Online 300 (Tablet - license for Advisor Plus or Quote NOT required)

 $299.00 


3. Method of Payment:

 
Card Number:  Exp. Date: (format MMYY)
Name on credit card:
Please enter your billing address if different from mailing one:
Billing Address:  Zip: 

Subtotal Amount:
Massachusetts residents add 6.25% sales tax:
Shipping/Handling: $9.95 if CD requested
TOTAL AMOUNT:

Promotion code if applicable:

Comments or special instructions:

NOTE: New Products have a 30-day guarantee, net of shipping/handling. A $25 service fee applies to returns of each product. Renewals are not returnable. A Discount applies if buying BOTH a NEW LTC Advisor Plus and a NEW LTC Quote in a single order.

These comparison tools are also available as Web-based programs. Contact StrateCision for information on our online programs.

StrateCision, Inc., 35 Highland Circle, Needham, MA 02494
Phone 781-453-1938 Fax 781-453-1939