USAID-Supported Procurement

2006 Order Form

USAID-supported procurement

Please complete and email the attached form to . Or print and fax to Cycle Technologies

at +1 (202) 237-0664.

ORDERING IN APPROPRIATE LANGUAGES

CycleBeads are available with English, Spanish, or French instructions and calendar. These instructions and calendar contain important information for clients and providers. All sets of CycleBeads must be distributed with instructions. Programs that prefer to print instructions and calendars locally at their own expense can order CycleBeads without these materials and will be given an electronic file to adapt the material locally.

ORDERING IN SELECTED COUNTRIES

If your organization is located in India or Peru, contact the local distributors for ordering information.

In India: My Life Cycle Companies, Mumbai; Tel:+91 22 5616 7771, Email:

In Perú: Perú Experience, Lima; Tel:+51 1 442 6986

All orders will be confirmed via email within three days of receipt of attached order form or an authorized purchase order. Allow 60 to 90 days from the date of payment or purchase order for delivery to the closest port of entry.

CONTACT INFORMATION

For questions or additional information on CycleBeads email us at or call us toll free within the U.S. at +1 (877) 292-5399; outside the U.S. call us at +1 (202) 237-0662.

For training and educational materials, contact the Institute for Reproductive Health at or visit .

CycleBeads are distributed under license by Cycle Technologies.

Please note that the pricing on this form is applicable ONLY to USAID and organizations utilizing USAID funds.

2006 Order Form

USAID-supported procurement

Please complete and email the attached form to . Or print and fax to Cycle Technologies

at +1 (202) 237-0664.

CycleBeads Pricing Per Set
(Shipping & Handling is Not Included)
CycleBeads with Instructions & Calendar / $0.99
CycleBeads without Instructions & Calendar / $0.87

Please order in increments of 500 sets.

Upon receipt of this completed form, Cycle Technologies will explore cost-effective shipping options (FedEx, DHL and other freight forwarders) and provide shipping costs. If your organization has a preferred shipping option, indicate here:

Pricing on this form is applicable ONLY to purchases made with USAID funds. Check here to certify that your organization is eligible for this pricing.

Non-eligible organizations should contact Cycle Technologies for appropriate pricing and procurement process.

2006 Order Form

USAID-supported procurement

Please complete and email the attached form to . Or print and fax to Cycle Technologies

at +1 (202) 237-0664.

PAYMENT METHOD

Please indicate your form of payment. All payments must be in U.S. currency.

US BASED ORGANIZATIONS

CheckVisaMasterCardWire Transfer

Purchase Order (note that payment will be required prior to shipping).

If paying by credit card, please fill in the following information:

ORGANIZATIONS BASED OUTSIDE THE U.S.

Organizations based outside the U.S. must pay via wire transfer. Contact or

+1 (202) 237-0662 for wire payment instructions.