University Of Illinois
–Springfield-


Student Purchases 
of Texthelp Systems Ltd. Software. 

Please print this form and FAX IT TOLL FREE to 
1-866-248-0652 

Contact Name 

School Name 

Address 

Zip Code 

Contact Email Address 

Contact Telephone Number Extension 
Contact Fax Number 
Authorized Signature Date 
Please Print Name 

Upgrade Product & License Part Number Cost / Unit Quantity Total 
Read & Write Gold 8 
Includes scanning, speech to text, text 
to speech, Spanish translation tool, 
fact finder, fact folder, fact mapper, 
and pdfaloud. 
RWGOLD-UOI $322.00 
Shipping per unit(2-3 day delivery) SHIPC0000-UOI $30.00 
Total 
Cost 

Method of Payment (Please Check) 
Charge the following credit card 
Credit card number * 


Expires
Name of credit card holder (Please Print)
Authorized credit card signature.
Special Notes:



*We accept Visa, MasterCard and American Express. Any Questions email m.wood@texthelp.com 

TextHelp Systems Inc. 
545 Boylston Street 
3rd Floor 
Boston, MA 02116 
Toll-free: 888-248-4944 

Fax: 1-866-248-0652 

www.texthelp.com