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| OUR PRODUCTS ABOUT US ENTER OUR STORE CUSTOMER SERVICE CAREER WITH US. TESTIMONIALS WEB DESIGN | ||||||
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Print and mail or fax this order form. |
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| Thank your for ordering. Print this form and fill out the information and return by mail or fax. Make checks payable to: NursePartners, 4303 Hadley Circle North - Suite A, Oakdale, MN 55128 or fax your order to 651-748-8596. If you have any questions, please do not hesitate to call us at toll free 1 - 866 - 773 -1190. ( We Accept Visa, MasterCard, Discover, American Express or E-Checks) | ||||||
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Item |
Description |
Price |
Quantity |
Total Price |
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| TRB 1001 (Hard copy with CD) |
$109.95 |
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| TRB 1001 (E-manual) |
$99.95 |
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| Starter Website |
49.95 |
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| Homecare Documents & Forms |
$89.95 |
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| Website Development & Hosting |
Call |
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Outside USA S&H |
$23.95 |
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| 2-3 Days Priority Mail |
$5.40 |
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| 7- 10 Days First Class Mail. |
Free |
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| Sales Tax Added To Minnesota Residents Only |
6.5% |
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Total Price |
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Billing Information |
Shipping Information if different from billing |
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| Name | Name | |||||
| Address | Address | |||||
| City, State, Zip | City, State | |||||
| Phone No. | Zip Code | |||||
| Notes | ||||||
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| Signature | Date | |||||
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Payment By Check:Place Check Here and Mail. Make Check Payable to NursePartners |
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