Order Form

Order Form

Please Mail the Completed Form To:

Patrick Hanley, Ph.D., PO Box 831514, Ocala, FL 34483-1514
E-mail: sales@hanleyinnovations.com

Print out this order form, fill it out and mail it to us. Please enclose a check or money order in US currency. Thank you for your purchase.

Note: You can request the download option and save shipping & handling charges. You will have your download information within 24 hours after your order is processed.

Shipping Information

      Name:______________________________________________________

      Company:___________________________________________________

      Address:___________________________________________________

      City:__________________________State:_____Zip:_____________

      Country:___________________________________________________

      Phone:_____________________  Fax:__________________________

      Email:_____________________________________________________

Product Information

Please note: Prices are subject to change without notice.    Please click 
here for special offers and prices.
                                            QTY        PRICE 	  TOTAL

     PRODUCT                             (in units)  (per unit)   (US $)
  -----------------------------------------------------------------------
    INDIVIDUAL PRICES
    MultiElement Airfoils, Annual Lease       __________   $ 2,995.00   __________
    MultiElement Airfoils, Perpetual          __________   $ 7,495.00   __________

    MultiSurface Aerodynamics, Annual Lease   __________   $   995.00   __________ 
    MultiSurface Aerodynamics, Perpetual      __________   $ 4,995.00   __________ 

    Stallion 3D, 3 Months Lease               __________   $ 1,895.00   __________
    Stallion 3D, Annual Lease                 __________   $ 4,995.00   __________ 
    Stallion 3D, Perpetual                    __________   $9,995.00   __________ 
 
    VisualFoil Plus, Annual Lease             __________   $   995.00   __________
    VisualFoil Plus, Perpetual                __________   $ 2,995.00   __________ 
   
  ----------------------------------------------------------------------- 
                                  Total units:__________

                                           S/H Charges (see below):     __________
                                                          Subtotal:     __________
                      Sales Tax 6.00% (Florida customers only)    :     __________
                                                    Total US FUNDS:     __________

Shipping and Handling

Domestic:

Regular: $9.95 for the first unit, $2 for each additional unit
Overnight: $15 for the first unit, $8 for each additional unit

International:

Regular: $9.95 for the first unit, $3 for each additional unit
Canada : $8 for the first unit, $3 for each additional unit
e-mail : $0.00

Method of Payment

  [   ]  Check or Money Order Enclosed (Payable to Patrick Hanley, Ph.D.)
         NOTE: Checks or Money Order must be in United States Funds and 
               Drawn on a United States bank only.