There are two ways to order:
- Call us at 703-455-3031
- Print this page and complete the order form below and fax us your order 24 hours a day, seven days a week at 703-455-3369 (fax)
- Print this page and complete the order form below and mail to:
Radiological Training Services, 6538 Koziara Drive, Burke, VA 22015
If you prefer, a PDF version of the Order Form is also available. You can view/print PDFs using the free Acrobat Reader software.
| VIDEO PROGRAM | PRICE | QUANTITY | TOTAL PRICE |
|---|---|---|---|
| Radiation
& Pregnancy: A Decision to Declare 25 Minutes, No Credit |
Purchase: $395 (VHS) Purchase: $395 (DVD) |
Quantity _____ Quantity _____ |
Total $___________ Total $___________ |
| Radiation
Risks Revisited 24 Minutes, No Credit |
Purchase: $395 (VHS) Purchase: $395 (DVD) |
Quantity _____ Quantity _____ |
Total $___________ Total $___________ |
| Radiation
Safety and Common Sense 26 Minutes, No Credit |
Purchase: $395 (VHS) Purchase: $395 (DVD) |
Quantity _____ Quantity _____ |
Total $___________ Total $___________ |
| Radiation
Protection Standards 39 Minutes, No Credit |
Purchase: $395 (VHS) Purchase: $395 (DVD) |
Quantity _____ Quantity _____ |
Total $___________ Total $___________ |
| Hospital
Radiation Protection Practices 60 Minutes, No Credit |
Purchase: $395 (VHS) Purchase: $395 (DVD) |
Quantity _____ Quantity _____ |
Total $___________ Total $___________ |
| Fundamentals
of Radiation Safety 54 Minutes, 1.0 Credit |
Purchase: $395 (VHS) Purchase: $395 (DVD) |
Quantity _____ Quantity _____ |
Total $___________ Total $___________ |
| Priority Mail Shipping $ 10.00 | |||
| VA Companies Please Add 5.0% VA Sales Tax $____________ | |||
| TOTAL AMOUNT $____________ | |||
Purchased videos are not returnable.
Free previews are not available.
| Person Ordering: | __________________________________________________ |
| Company | __________________________________________________ |
| Address: | __________________________________________________ |
| City/State/Zip: | __________________________________________________ |
| Telephone: | __________________________________________________ |
| E-Mail: | __________________________________________________ |
|
Purchase Order #: ______________________________ VISA _____ MasterCard _____ Card holder's full name: _____________________________________________ Account #: ____________________________________________ Card Verification Code: _________ (3 or 4 digit code listed on the back of the card) Expiration MO/YR: _____________ Card holder's signature: ______________________________ |