TUSK Ordering Information: The price of the Trace Usability Screening Kit is $486 (plus shipping and handling, and Wisconsin sales tax, whereapplicable). Payment may be made by check, purchase order, or credit card. Use the order form below, and send to theTrace Center via: fax (608-262-8848), email (vanderk@trace.wisc.edu), or US mail (Trace Center, 1550 Engineering Dr., 2107 ECB, Madison, WI 53706-1609, Attn: Kate Vanderheiden). Additional order forms are available online at http://trace.wisc.edu/tusk/. For questions or to order by phone, call (608) 262-6966. TUSK Order Form Name (Enter your full name): Company (Enter your company or organization): Shipping Address (Please enter your complete shipping address including street address, city, state and zip code): Billing Address (if different): Phone (daytime): Email (Enter your email address) : Number of Kits ($486 each): Shipping and Handling Charge: $47.74 Total*: * If applicable, a 5% Wisconsin sales tax will be added to the total shown. Payment information (select one): [ ] purchase order enclosed [ ] check enclosed [ ] credit card (complete information below) Credit Card information: [ ] Mastercard [ ] Visa Cardholder Name: Card Number: Expiration Date: