QARACC PRODUCT ORDER FORM

Name __________________________________________ Date ___________________

Company _______________________________________ Dept ___________________

Street Address (No PO Boxes) ________________________________________________________

City ___________________________ State _____ Zip ________

Phone _______________________ Fax _____________________ Email ____________________

 

Quality System CD-ROM Training Modules

Training Module Title Cat. No. Qty Price Total
FDA QSR Training    QSRO-001       $1095.00     
FDA QSR Executive Overview     QSRE-002       $695.00     
FDA QSR Employee Overview     QSRE-003       $595.00     
ISO 9000:2000 Overview      ISO-9000       $995.00     
ISO 13485:2003 Training      ISO-13485       $1095.00     
Design Controls - An In-Depth Perspective       DC-001       $895.00     
Internal Auditor Training (with QSR Audit Checklist)        IA-001       $895.00     
Complaint File & MDR Requirements Training        CHMDR       $395.00     
Root Cause Analysis & CAPA Training        RCA-CAPA       $895.00     
QMS Requirements Training        QRO       $695.00     

Informational Handbooks

Handbook Title Cat. No. Qty Price Total
Medical Device Regulation Basics       MDHK        $6.95      
Cosmetic Regulation Handbook       CRHK        $19.95      
Design Reviews       DRHK        $6.95      
Understanding ISO 9000:2000       ISOHK        $9.95      
QSR Companion - How to Survive a QSIT Inspection       QSRHK        $15.95      
21 CFR Part 820 - FDA Quality System Regulation       QSR        $5.95      

Quality System Template Cat. No. Qty Price Total
QSR Audit Checklist       AUDCL        $150.00      
QSR Quality Manual       QSRQM        $195.00      
Sub Total            
FL residents add State and local sales tax      
U.S. Shipping & Handling: Please call for International rates

Order Subtotal Add
$00.01 - $10.00 $3.00
$10.01 - $30.00 $5.25
$30.01 - $75.00 $7.50
$75.01 - $150.00 $10.00
$150.01 - $300.00 $17.50
$300.01 - $500.00 $25.00
$500.01 - $2500.00 $33.50
$2501.00 - $5000.00 $45.00
      
TOTAL      

Method of Payment:

 

¨ MasterCard#_____________________

 EXP:_____________

¨ Visa#_____________________

 EXP:_____________

¨ Check (make check payable to QARA Compliance Connection)

  

Mail to: QARA Compliance Connection, Inc.
P.O. Box 448
Odessa, Florida 33556