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.

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 Plus Products:

ITEM

Price

Quantity

Subtotal $

LTC Quote Plus (can be purchased & downloaded online)

 $299.95 

LTC Quote Plus MGA (For General Agents)

 $499.95 

LTC Quote Plus California Supplement **

 $79.95 

LTC Quote Plus Connecticut Supplement **

 $79.95 

LTC Quote Plus New York Supplement **

 $79.95 

LTC Quote Plus Short Term Care Supplement **

 $99.95 

LTC Quote Plus MGA Upgrade **

 $200.00 

LTC Quote Plus Group Upgrade **

 $200.00 

** Supplements and upgrades require current version of LTC Quote Plus


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 Plus 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