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As the principal of Robitaille Associates she has helped numerous companies in diverse fields to achieve
ISO 9001 registration and to improve their quality management systems. She has conducted training
courses for thousands of individuals on such topics as corrective action, management review, auditing,
document control and implementing ISO 9001.
Denise’s books include: The Corrective Action Handbook, The Management Review Handbook, The
Preventive Action Handbook, Root Cause Analysis: Basic Tools and Techniques, Document Control and
Managing Supplier-Related Processes. She is a regular columnist for The Auditor newsletter and is the
author of numerous articles.
Look for a special 20% off discount code on all Paton Professional books at the end of this story.
© 2007, 2009 Denise Robitaille. All rights reserved.
Introduction
S anta decided it was about time for him to bring more control to the toy manufacturing and delivery
processes at the North Pole. The elf population has increased dramatically, and there are more and
more children to be served. There has been a proportionate increase in the amount of outsourcing due
to several factors.
Recognizing the need for a balance between preserving tradition and addressing consumer safety
laws and environmental protection protocols, Santa initiated processes to ensure continued customer
delight as well as unquestioned safety. This has evolved into a massive project encompassing updated
designs of all the perennial favorites like dolls and sleds and teddy bears. Even with the outsourcing of
21st century gadgetry, there’s still a lot of work to keep the elves busy.
Santa’s Workshop had been outsourcing more of the electronic gadgets and games that kids love.
Rather than sending thousands of elves to universities and trade schools to increase their knowledge of
emerging technologies, it was decided that it made more sense to have the experts make the toys and to
procure them for holiday gift-giving.
Qualifying thousands of suppliers ensures that toys and games continue to reflect Santa’s commitment
to quality and joy. Hundreds of elves are involved in pre-qualification, supplier audits, developing
improved process documents for the outsource suppliers, and establishing adequate inspection and
acceptance criteria documentation.
Santa became aware of the ISO 9001 standard several years ago and immediately recognized the
value it could bring to the North Pole operation. He has slowly been developing his quality management
system (QMS) with the help of a crackerjack team. Before the production season gets into full swing,
Santa would like to have Santa’s Workshop registered to ISO 9001.
In preparation for the pre-assessment audit, Santa has sent his organization’s quality manual, core
procedures, master document list, and a sampling of other documentation for a document review. It
does not include all the documents.
Enjoy a bit of holiday whimsy as we present the quality manual and core procedures for Santa’s
Workshop. See if Santa’s documentation is adequate and if it will pass a registrar’s assessment. Pick
up a few tips and a fresh perspective on documenting your own QMS from the jolly fellow at the
North Pole.
Santa’s Workshop
Quality Manual
Quality Policy............................................................................................................................... 1
Organizational Chart.............................................................................................................. 2
Quality System.............................................................................................................................. 8
Quality Objectives...................................................................................................................... 8
Allowable Exclusions.............................................................................................................. 9
Revision History............................................................................................................................ 9
Quality Policy
Santa and his elves are committed to providing gifts that fulfill customer-specified
to the requirements of ISO 9001. We are committed to improving our products and
processes to ensure continued ability to be the premier provider of gifts during the
Normative References
Holiday season refers to the period from mid-December until early January that is traditionally
associated with the Christmas holiday. However, Santa’s Workshop provides gifts to children of any
and all denominations, cultures, and ethnicities.
Customer-specified requirements are defined as those described in children’s letters, made while sitting
on Santa’s knee or expressed through comparable communiqus. Included in the specification are
parents’ inputs as to appropriateness, which may override child (herein occasionally referred to as
customer) requests. Further, children have been previously advised that the delivery of gifts is subject
to their status on Santa’s “NICE” list. It is understood that inclusion on the “NAUGHTY” list prohibits
delivery of gifts or proportionately decreases quantity delivered.
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Santa’s Workshop Quality Manual
Organizational Chart
Santa Claus
Outsourcing
contract Steward of
supervisory elf letter-sorting
elves
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Santa’s Workshop Quality Manual
Yes No
Refer to Purchase from
Manufacture
engineering approved
in-house?
outsource
Review design:
revise if needed
No Initiate
Supplier approval
on approved process
list?
Refer to Yes
engineering
Placer order
with approved
Check parts supplier
inventory
Purchase
materials
Finished Issue
goods? materials to
manufacturing
To finished goods
stockroom
Manufacture
toys
Prep sleigh and
reindeers
Inspect
Pull inventory/
stock sleigh
Deliver toys
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Santa’s Workshop Quality Manual
Market research
Supplier
performance
Nonconforming
material
Analysis
Management
review
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Santa’s Workshop Quality Manual
Mrs. Claus also serves as the chief financial officer, responsible for financial matters and oversight
of administrative staff. She supervises the team of elves responsible for opening and sorting children’s
letters to Santa.
The master elf of toy production is responsible for managing toy manufacturing processes.
Responsibilities include:
❅ Overseeing all aspects of toy production, inspection, packaging, inventory, and maintenance
❅ Participating in the dispositioning of nonconforming material
❅ Assisting in development of plans and objectives
❅ Management of quality control lab
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Santa’s Workshop Quality Manual
Responsibility for various functions within the QMS and the authority to perform or approve certain
activities are delegated by the executive management to managers and elves in supervisory roles.
Responsibilities are identified in the appropriate documents.
The senior purchasing elf is responsible for processes relating to supplier qualification and monitoring
and purchasing activities. Responsibilities include:
❅ Qualification of suppliers
❅ Oversight of negotiations and control of outsourced processes
❅ Purchase order approval
❅ Monitoring and analysis of supplier and subcontractor performance
The elfin director of toy design is responsible for the design and development of toys manufactured
by Santa’s Workshop. Because most of the toy designs are established, most of the design work involves
revision to existing toy designs. Responsibilities include:
❅ New toy design
❅ Supervision of engineering staff
❅ Revision of existing design to address:
❅ Availability of improved materials
❅ Technological innovation
❅ Improved manufacturing capabilities
❅ Safety and statutory requirements
❅ Changes in the marketplace
❅ Newly discovered colors
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Santa’s Workshop Quality Manual
3. Presentation of statistical analysis, such as process and production data, nonconforming material
reports, scrap rates, equipment failure/downtime, and supplier performance
4. Review summary of internal audits performed since last management meeting
5. Review of quality policy and objectives
6. Equipment issues
7. Training issues
8. Suggestions
9. Action to be taken
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Santa’s Workshop Quality Manual
Quality System
The scope of the quality management system is the design, manufacture, and distribution of gifts
during the holiday season.
Santa’s Workshop operates its quality system by a set of defined procedures and processes identified
in the Master Document List. Adherence to these documents ensures fulfillment of customer-specified
requirements and conformance to the requirements of ISO 9001.
Quality planning is incorporated into the appropriate procedures, work instructions, and other
documents. These plans may relate to product design, processes, equipment, inspection, training, and
continual improvement, and reflect consideration for interrelation and sequence of processes.
Quality Objectives
Santa’s Workshop establishes quality objectives relating to product, performance, and the attainment
of organizational goals. These are defined and communicated in various forms, as appropriate to the
function and objective.
Management ensures that appropriate metrics are established for measuring and assessing the
organization’s fulfillment of these objectives.
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Documents
and Procedures
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Santa’s Workshop Quality Manual
Allowable Exclusions
The following ISO 9001 requirements are excluded from the scope of Santa’s Workshop’s quality
system.
Revision History
Revision Date Nature of change
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Santa’s Workshop Quality Manual
Procedures
Number Title Rev. Level Rev. Date
-- Quality Manual C 10-24-09
QP 4.2.3 Document and Data Control B 11-6-09
QP 4.2.4 Control of Records A 6-12-08
QP 6.2.2 Training D 11-22-08
QA 6.3 Equipment Maintenance C 10-17-09
QA 7.3 Toy Design F 11-6-09
QA 7.4.1 Supplier Qualification and Monitoring D 10-17-09
QA 7.4.2 Receiving and Inspection D 10-17-09
QA 7.5.1 Toy Manufacturing B 6-29-08
QA 7.5.5 Toy Packaging A 9-13-09
QA 7.6 Control of Measuring & Test Devices C 5-30-10
QA 8.2.2 Internal Auditing A 11-6-07
QP 8.3 Nonconforming Material B 6-12-09
QA 8.5.2 Corrective Action B 9-29-08
QA 8.5.3 Preventive Action B 9-29-08
Work Instructions
Number Title Rev. Level Rev. Date
WI 6.3.1 Reindeer Stable Maintenance B 9-13-09
WI 6.4.1 Christmas Tree Decoration J 10-05-10
WI 7.4.3 Receiving of Subcontracted Toys & Gifts B 8-05-10
WI 7.3.7 Design Change Control B 11-6-09
WI 7.5.1.1 Dolly Construction A 6-25-07
WI 7.5.1.2 Wagon Assembly B 7-18-08
WI 7.5.1.3 Rocking Horse Fabrication B 7-18-08
WI 7.5.1.4 Teddy Bear Assembly B 8-29-09
WI 7.5.1.5 Sled and Toboggan Manufacture B 8-05-10
WI 7.5.1.6 Chemistry Kit Assembly F 8-05-10
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Santa’s Workshop Quality Manual
Training Guides
Number Title Rev. Level Rev. Date
TG 6.3 Stable Cleaning B 6-25-06
TG 6.4 Christmas Caroling C 1-29-10
TG 7.5.1.1 Department Store Santas C 11-03-09
TG 7.5.1.2 Woodshop Elf Level I A 6-25-06
TG 7.5.1.3 Woodshop Elf Level II A 6-25-06
TG 7.5.1.4 Woodshop Elf Level III A 6-25-06
TG 7.5.1.5 Machine Shop Elf Level I B 7-06-09
TG 7.5.1.6 Machine Shop Elf Level 1I B 7-12-09
TG 7.5.1.7 Machine Shop Elf Level 1II C 7-12-09
TG 7.5.1.8 Sewing and Needlework Basic Skills A 6-25-06
Other Documentation
Category Location or Owner Comments
Toy specification Blitzen drive
Santa’s flight plan On Kringle drive Access restricted
Calibration schedule On Dancer drive Old revs archived
Audit schedule Rudolph drive Old revs archived
Production schedule Master elf of toy production Printed weekly; updated daily
Naughty/nice lists Santa On Kringle drive. No one but Santa
has access to these lists.
Reindeer care instructions Master reindeer custodian; Revise based on condition and health
and schedules on Comet drive of individual reindeers
Production routers Prancer drive Shop steward elves authorized to revise
Purchasing/outsourcing Senior purchasing elf with input from
documents outsource supplier
Record retention matrix ISO rep
IT backup and security On Dancer drive Access limited to IT elves
protocols
The Preventive Guidance for Two copies in Kringle Re-order from Paton
Action Handbook managing risk and Memorial North Pole Professional
potential problems Library. One copy
each production and
purchasing.
The Management Guidance on strategic Two copies in Kringle Re-order from Paton
Review Handbook planning and Memorial North Pole Professional
management issues Library. One copy
each production and
purchasing.
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Santa’s Workshop Quality Manual
Number or Name
Category Location/Owner Comments
(if applicable)
Root Cause Guidance on Two copies in Kringle Re-order from Paton
Analysis: Basic problem-solving Memorial North Pole Professional
Tools and investigation Library. One copy
Techniques each production and
purchasing.
1.0 Purpose
This procedure defines the establishment of a system to approve, control, review, and maintain the
documentation that relates to Santa’s Workshop.
2.0 Scope
This encompasses QMS documentation, including the quality manual, procedures, work instructions,
production documents, specifications, manuals, and documents of external origin. Some documentation
is generated and maintained electronically.
3.0 Procedure
3.1 The ISO management representative is responsible for developing and implementing a plan for
the control, storage, and maintenance of documents and data relative to the quality system. Quality
procedures are reviewed by the ISO management representative prior to implementation to verify that
they comply with established procedures, statutory requirements, and the ISO 9001 standard.
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Santa’s Workshop Quality Manual
3.2 The ISO management representative maintains a master document control list, which lists the
quality manual, quality procedures, and other relevant documents. For the quality manual and
quality procedures, the list includes the date of the most current revision and the revision level.
3.3 This procedure identifies the personnel authorized to access, revise, and make copies of the
documents. Care is taken that access is limited to qualified personnel to prevent proliferation of
uncontrolled documents or to avoid unintended use.
3.4 The master copies are stored electronically on the shared Rudolph drive. Approval is indicated by
electronic signature of authorized personnel and date stamp. A distribution list is maintained of
hard copies that have been distributed.
3.5 Changes to documents must be reviewed by the same function/organization that performed
the original review and approval. The designated function/organization is authorized to access
pertinent background information for the purpose of the review and approval.
3.6 When a document is changed, the authorized person verifies that obsolete hard copies are retrieved
and replaced with the most recent revision. Unless otherwise indicated, all copies of obsolete
documents are destroyed. Should there be a need to retain an obsolete document, all copies are
clearly designated as obsolete.
3.7 In the event of a change to a controlled document, the nature, date and revision level (when
appropriate) is indicated as follows:
3.8 The ISO management representative or the supervisor of a department or function is responsible
for ensuring that all authorized personnel are trained in the control, maintenance, and storage of
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Santa’s Workshop Quality Manual
controlled documents and data. Further, appropriate revisions of controlled documents are made
available at all locations where they are required.
It is the responsibility of authorized personnel to verify that they are in possession of the most
current revision of a document.
3.9 The following departments/personnel are responsible for document control and maintenance:
3.10 Functions having responsibility for the control, maintenance and/or access of documents of
external origin such as standards, specifications and statutory requirements are identified on the
master document list.
3.11 Electronic documentation maintained and protected in accordance with information management
system (IMS) protocols described in IMS work instructions. The system is backed up on a regular
basis. A copy of the back up is stored off-site
3.12 Santa’s Workshop has identified forms that need to be controlled and listed them on the master document
list. Other forms, templates and charts may be utilized, but need not be numbered or controlled.
3.13 Quality procedures and work instructions are regularly reviewed for continued applicability and
accuracy as part of scheduled internal audits. Revisions are made if required.Revision History
Revision History
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Santa’s Workshop Quality Manual
Control of Records
1.0 Purpose
The purpose of this procedure is to define the system by which quality records are controlled and
maintained.
2.0 Scope
The scope of this procedure is Santa’s Workshop records that provide evidence of fulfillment of specified
requirements. “Control” covers identification, collection, indexing, access, filing, storage, maintenance,
and disposition of the quality records.
3.0 Procedure
3.1 Records verify and substantiate the implementation and effectiveness of the QMS and the
fulfillment of customer-specified requirements.
3.2 Quality records facilitate management review and provide historical reference that may assist in
trending analysis, performing root cause analysis, and developing corrective action plans.
3.3 Records are maintained in a manner that promotes identification, accessibility, and preservation
from damage or deterioration. Records are readily accessible and stored in conditions that guard
against damage and deterioration. Records that are stored electronically are similarly protected.
3.4 Supervisors ensure that elves provide clear and legible records. Further, personnel are trained in
the correct storage, maintenance, and retrieval of records.
3.5 Santa’s Workshop has identified records that need to be controlled and defined the method of
retention in the record retention matrix.
3.8 Santa’s Workshop complies with statutory requirements for retention and storage of records
relating to product safety.
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Santa’s Workshop Quality Manual
Revision History
Revision Date Nature of Change
A 6/12/08 Initial release
1.0 Purpose
This procedure establishes activities relating to the selection, qualifying and monitoring of suppliers
and outsourced processes that affect Santa’s Workshop’s ability to supply product that conforms to
specified requirements.
2.0 Scope
This procedure encompasses the purchase of materials used in the manufacturing process and finished
products such as electronic toys and games
3.2 Vendors are selected based on their ability to meet specified requirements in a timely manner and
who demonstrate an unwavering commitment to the highest levels of quality.
3.3 Additional control is required of those organizations to which Santa’s Workshop outsources the
design and manufacture of specific games and toys. Such controls may relate to documentation,
special requirements, specific acceptance/verification criteria, periodic audits, and furnishing
inspection/test records. These additional requirements are defined, as appropriate, in the contract
with the outsourcing organization.
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Santa’s Workshop Quality Manual
3.4 The manner of qualifying and monitoring suppliers is detailed in the supplier classification and
qualification chart found in this document.
Method of
Method of monitoring
Criteria for qualification
Class Product/service (as appropriate to
selection (may be one or more
category)
methods)
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Santa’s Workshop Quality Manual
Method of
Method of monitoring
Criteria for qualification
Class Product/service (As appropriate to
selection (may be one or more
category)
methods)
3.5 Criteria for removal from the approved vendor list (AVL) includes, but is not limited to:
3.5.1 Recurring defects
3.5.2 Repeated failure to meet required delivery
3.5.3 Failure to respond to vendor action requests
3.5.4 Poor workmanship
3.5.5 Making the elves cry
3.6 Disqualification of a supplier is recorded and communicated in the purchasing database.
3.7 Quarterly analysis of on-time delivery is conducted for top suppliers by volume as determined by
purchasing personnel. Additionally, occurrences of late deliveries that have affected production
and/or the ability to meet customer requirements are recorded on a case-by-case basis, when
deemed appropriate by purchasing personnel.
3.8 Self-assessment forms are to be sent out to new suppliers as soon as possible, but no later than
forty-five days after generation of initial order. Failure to respond to a request for self-assessment
results in banning from Santa’s Nice List and removal from the AVL.
4.0 Forms
7.1 F7.4.1 Vendor Self-Assessment
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Santa’s Workshop Quality Manual
Internal Auditing
1.0 Scope
This procedure covers internal quality audits.
2.0 Purpose
This procedure defines the establishment, implementation, and documentation of the internal auditing
process as an appropriate method for evaluating the effectiveness of the quality system as it relates to
the organization’s ability to meet customer requirements.
4.0 Responsibilities
4.1 ISO management representative
❅ Prepares and maintains audit schedule
❅ Ensures that auditors are trained
❅ Ensures that audits are conducted in accordance with the audit schedule
4.2 Auditors
❅ Assist in the preparation of audit material
❅ Conduct audits
❅ Write audit report
❅ Follow up on CARs
5.0 Procedure
5.1 All elements of the quality system are audited at least once within a one-year audit cycle. The
audit schedule is prepared and issued covering a one-year time span. Frequency of audits for
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Santa’s Workshop Quality Manual
various processes and activities are reliant on multiple factors, including criticality, results of
previous audits, and changes that could affect the fulfillment of organizational objectives. The
schedule may be periodically updated based upon these factors or other considerations.
5.2 Internal auditors may not audit their own work.
5.5 Auditors proceed with the audit and keep the auditee informed of observations. Findings are
recorded for later review in developing audit CARs for presentation at the CAR meeting.
5.6 Corrective actions are generated and assigned in accordance with QP 8.5.2.
5.7 An audit report is generated that is used during the management review process to assess the
status and effectiveness of the quality management system.
5.8 The records of internal audits are filed in the ISO management representative’s area.
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Santa’s Workshop Quality Manual
2.0 Scope
This procedure applies to materials, components, subassemblies, and finished goods.
3.0 Definitions
❅ Nonconforming product: Material, component, subassembly, or finished product that does not
conform to specified requirements. It includes materials and products whose conformance status
has not been determined.
❅ Material Review Board (MRB): The MRB is comprised of the following individuals:
❅ Santa Claus
❅ Senior purchasing elf
❅ Master elf of toy production
❅ Quality control level III elves
❅ ISO management representative
❅ Production group leader elves
Review of an MRB report and disposition of materials may be performed by one or more members.
Each member is authorized to disposition materials and determine the need for further action.
4.0 Procedures
Identification and segregation
4.1 It is every elf’s responsibility to identify nonconforming material when it is noticed during normal
work assignments. The nonconformance is identified with the part number, date of detection,
quantity, and description of defect using a nonconformance tag (F8.3.1).
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Santa’s Workshop Quality Manual
4.2 In production processes where there are expected levels of setup scrap and/or failure rates due to variation,
there is no need to separately document and process each occurrence of the same nonconformance.
These products have a predetermined disposition to scrap. Scrap is disposed of in green-colored bins.
Elves have all been trained that material in green bins is not to be used in production.
4.4 Identification and documentation of defects or other nonconforming conditions are processed as
described in the following chart:
Source/point of
Segregated location Process
detection
Purchased material Designated area in • Production group leader elf logs defective parts
detected at first point stockroom in Vixen database (found on Prancer drive)
of use (usually in • Stockroom elves issue replacement
production) components
• Material is segregated in stockroom (small
quantities of items of negligible value may
be discarded)
• Stockroom or QC elves check inventory and
verify correctness or segregate additional
nonconforming stock
• Any rejected material with a dollar value
exceeding $15 or with a long lead time
requires an MRB form.
• QC elves evaluate the material and work
with purchasing and production elves to
determine further action.
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Santa’s Workshop Quality Manual
Source/point of
Segregated location Process
detection
In-process or at final Designated area in • QC level III elf logs defective parts in
inspection QC Donner database (found on Prancer drive)
• Any rejected material with a dollar value
exceeding $15 or with a long lead time
requires an MRB form.
• QC elves evaluate the material and work with
production group leader elves to determine
further action.
4.5 MRB members determine appropriate disposition and record action taken on MRB form (F8.3.2).
4.8 Reworked products are inspected to verify that they conform to the same requirements as originally
specified. The manner and scope of inspection are prescribed in the rework instructions. Records
of re-inspection are noted on the rework production router.
4.9 The member of the MRB who dispositions material recommends if corrective action should be
initiated. Additionally, MRB members review and analyze reports to detect trends and identify the
possible need for corrective and preventive actions.
Revision History
Revision Date Nature of Change
A 6/12/08 Initial release
B 6/12/09 Added chart to better explain process
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Santa’s Workshop Quality Manual
Corrective Action
Identify problem
Evaluate situation
• Repair defect
• Quarantine inventory
• Contact vendor
Take appropriate • Scrap material
action
No CA
Monitor for required?
recurrence Yes
Take corrective
action
Assemble team
Develop plan of
action
Close out
Implement plan
No
Did it
work? Assess results
Yes
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Santa’s Workshop Quality Manual
Preventive Action
1.0 Scope
This procedure encompasses documentation and activities related to identifying and eliminating the
causes of potential of product and process nonconformances.
2.0 Purpose
The purpose of this procedure is to describe the manner in which Santa’s Workshop addresses potential
problems and nonconformances through various preventive actions.
3.0 Procedure
3.1 Preventive actions are generated based on the identification of a potential problem and the
determination of probability, magnitude, and criticality. As the opportunity to address potential
problems varies depending on the nature of the product or process, the criteria for determination
and the decision to initiate preventive action is the responsibility of top management or the process
owner.
3.2 The justification to initiate preventive action is derived from a multitude of sources including, but
not limited to:
3.2.1 Market input
3.2.2 Procedural requirements
3.2.3 Trends analysis/performance data
3.2.4 Reports from air traffic controllers
3.2.5 Internal audit
3.2.6 External (third-party) audit
3.2.1 Management review and recommendation
3.4 In each instance the preventive action will reflect consideration of the potential risk, an evaluation
of the need for action, development and implementation of an action plan, a mechanism for
verifying effectiveness, contingency for record retention, and inclusion in management review.
3.5 In the case of unique initiatives, a Preventive Action Initiative form is generated. In other instances,
the action taken and the record of results is reported to supervisors and top management in a
manner that is appropriate and reflective of similar verification and review processes.
3.6 The chart below illustrates the origin, documentation and method of reporting various preventive
actions that are conducted.
Defined
in what Verification Method of
Preventive
To prevent procedure, of Records reporting to
action
process, or effectiveness management
requirement
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Santa’s Workshop Quality Manual
Defined
in what Verification Method of
Preventive
To prevent procedure, of Records reporting to
action
process, or effectiveness management
requirement
3.7 Determination of the appropriate elf to be assigned responsibility for a preventive action initiative
is determined by top management or various process owners with input from supervisory elves or
managers, when appropriate.
3.7.1 Records of the decision to initiate a preventive action are reliant on the nature of the
perceived problem and are typically found in:
3.7.1.1 Minutes of management review
3.7.1.2 Preventive action initiative forms
3.7.1.3 Memos and e-mails
3.8 It is the responsibility of the elf team to which the preventive action has been issued to:
3.8.1 Identify the root cause of the potential nonconformance
3.8.2 Describe and implement a plan for preventive action
3.8.3 Ensure that the plan is implemented
3.8.4 Provide records for review
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Santa’s Workshop Quality Manual
Revision Date Nature of Change
A 6/12/08 Initial release
B 9/29/08 Added notation for OSHA programs
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Santa’s Workshop Quality Manual
Review results
No
Availability of No
materials OK?
Yes
Need to change Yes
routers?
No
Release to toy test lab for
mini validation
Results OK?
No
Yes
Release to production
31
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