August 30, 2023

Lovelle G. Ditucalan, MD
Fellow, Dementia and Memory
Jose R. Reyes Memorial Medical Center - Department of Neurology
San Lazaro Compound, Rizal Avenue, Sta. Cruz Manila

Dear Dr. Ditucalan,

We are pleased to submit our price quotation for the following Psychological Test Materials:

QTY. DESCRIPTION AMOUNT

1 set WECHSLER ADULT INTELLIGENCE SCALE FOURTH P 231,000.00
EDITION (WAIS-IV)
Includes: set of Administration and Scoring, Technical Manuals, 2
Stimulus Books, 25 Record Forms, 25 Response Booklet #1, 25 Response
Booklet #2, Symbol Search Scoring Key, Coding Scoring Key,
Cancellation Scoring Templates, 9 Block Design Cubes

1 set DELIS-KAPLAN EXECUTIVE FUNCTION SYSTEM (D-KEFS) 146,000.00

Includes: Examiner's and Technical Manuals, Stimulus Booklet,
Sorting Cards (3 sets of 6 cards each), 1 Tower stand with 5 color disks,
25 Standard Record Forms, 25 Design Fluency Response Booklets, and 25
Trail Making Response Booklet sets (each set contains 25 Response
Booklets for the 5 Trail Making conditions)

1 set REPEATABLE BATTERY FOR THE ASSESSMENT OF 128,000.00

NEUROPSYCHOLOGICAL STATUS UPDATE (RBANS UPDATE)
FORMS A-D COMBO KIT
Includes: Stimulus Books A-D, Coding Templates A-D and Manual;
designed for Clinical Trials or Research where Record Forms will be
acquired in alternative formats. Record Forms sold separately.

Important Note: RBANS Update Forms A, B, C and D can be purchased

separately in sets.
 1 set BOSTON NAMING TEST-SECOND EDITION 22,000.00
Includes: 25 Naming Test Record Booklets and Stimulus Cards Picture
Book

TOTAL: P 527,000.00

NOTE:
Prices are subject to change without prior notice due to variables like exchange rates, international freight
charges, and publisher rates. Price validity for all items is up to 6 months.

Delivery lead time for items coming from the US is 2-3 weeks. May take longer due to unforeseen
circumstances. Delivery updates will be provided as soon as they are available.

Should you find the above acceptable, please feel free to get in touch with us through our contact numbers
or sign and send this back to us for processing.

Thank you for allowing us to be of service and hoping for your kind consideration and approval.

Yours truly, CONFORME:

Jemanin Campanilla, RPm _______________________________

Academic Testing Head Signature above Printed Name / Date