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Text File  |  1997-03-28  |  5KB  |  61 lines
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  3. ╔═════════════════════════════════════════════════════════════════════════════╗
  4. ║ For this and many other fine products for the healthcare profession contact ║
  5. ║                                                                             ║
  6. ║                                                                             ║
  7. ║      Salem Healthcare Consultants                                           ║
  8. ║      8567 Coral Way Ste 266                                                 ║
  9. ║      Miami, Florida 33155                                                   ║
  10. ║                                                                             ║
  11. ║      Office:    (305) 234-5755                                              ║
  12. ║                 (305) 737-9514                                              ║
  13. ║      E-Mail:    SalemHC1@aol.com                                            ║
  14. ║                                                                             ║
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  17. ║                                                                             ║
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  20. ║     Mail Order Form to Terran Healthcare Systems or call (305) 223-5937     ║
  21. ║                                                                             ║
  22. ║            Description                             Disk Size     Price      ║
  23. ║     [  ]   MediSoft Original                       3 or 5        $99.00     ║
  24. ║     [  ]   MediSoft Advanced                       3 or 5       $499.00     ║
  25. ║     [  ]   MediSoft Multi-User (50 users Max)      3 or 5       $799.00     ║
  26. ║     [  ]   Just Claims                             3 or 5        $69.00     ║
  27. ║     [  ]   ICD and CPT Codes on Diskette           3 or 5        $99.00     ║
  28. ║     [  ]   6 pack of Codes on Diskette             3 or 5       $399.00     ║
  29. ║     [  ]   Bar-Code Billing - Transaction Entry    3 or 5       $499.00     ║
  30. ║     [  ]   Annual support plan                     3 or 5       $299.00     ║
  31. ║     [  ]   Hourly telephone support                              $69.00     ║
  32. ║     [  ]   Final Draft word processor              3 or 5        $99.00     ║
  33. ║     [  ]   Direct to MediCare (EMC)                3 or 5       $299.00     ║
  34. ║     [  ]   Billing Service Bundle                  3 or 5       $999.00     ║
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  42. ║                                                                             ║
  43. ║     Shipping Address                                                        ║
  44. ║     Name: _______________________________                                   ║
  45. ║                                                                             ║
  46. ║     Street:______________________________                                   ║
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  48. ║     City Line:___________________________                                   ║
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  50. ║     Payment Type                                                            ║
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  52. ║     [  ] Check Number ________                                              ║
  53. ║     [  ] Money Order                                                        ║
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  56. ║          Signature _____________________________                            ║
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