Upgrades To Medical version 10:
Small Office Edition 9 to Small Office 10 @ $400 x ____ copies = __________
Small Office Edition 9 to Medical 10 @ $600 x ____ copies = __________
Medical version 8/9 to Medical version 10 @ $500 x ____ copies = __________
Professional 8/9 to Medical version 10 @ $900 x ____ copies = __________
New Medical Version Licenses: Special Discounted Pricing
Small Office Edition, Version 10 @ $1,129 x ____ copies = __________
Medical Version 10 @ $1,530 x ____ copies = __________
Tax: Only if shipping to California, add 7.75% of subtotal = __________
SubTotal = __________
Insured Shipping charge:
Add $8.30 per copy ordered Total # of Copies ____ x $8.30 = __________
Total = __________
Payment Methods:
Fax this form with credit card information, to our secure Fax at 858 536-1334
OR
Scan this form with Credit Card information, and E-Mail to info@A1Productivity.com
Credit Card Information: (please print clearly to speed processing)
Name on Card: ______________________________ Expiration Date: _______________
Card Number: ______________________________ CVV Code from back of Card: __________
Card Type: ___ MasterCard ___ Visa (only MasterCard or Visa accepted)
Shipping Address:
Name: __________________________________ Company Name: _________________________________
Address: ____________________________ City: ____________________ State: __________ Zip: _______
Phone Number: _________________________ E-Mail: ___________________________________________
A1 Productivity Products ● 7955 Raytheon Road San Diego, CA 92111 ● (858) 566-7000
info@A1Productivity.com
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