MEDICAL TRANSCRIPTION PRACTICE


MAIL-IN ORDER FORM

 
 

Please print and mail your completed form
to the address located at the bottom of the page.

If paying by Credit Card, you may also fax your order to the number below.


ABSOLUTE EXPERIENCE®
In Medical Transcription


Name : If paying by Credit Card, you may also: Phone us at 1.877.503.7209 or FAX to 1-877-275-1649.

Company :
Street Address :
 

City, State, Zip :
Phone :                                                                                                 Email  (For internal use ONLY):

Would you like to receive emails about special offers from Absolute Experience? 

ITEM(S) DESCRIPTION:
 
 

ITEM(S) PRICE          $

  *SHIPPING FEES:   $                    
 

  
GRAND TOTAL (USD)   
 

  
  *Shipping Fees - (We ship via USPS Priority Mail with Delivery and/or Signature Confirmation.)
   - Complete 3-CD Set w/.PDF Transcript Keys:  $12.00 
   - Specialty Group CD w/.PDF Transcript Keys:  $9.00

   - Single CD by Specialty w/.PDF Transcript Key: $9.00
   - EXPRESS shipping:  Add $18 to the standard shipping fee.

PAYMENT OPTIONS: Check, Money Order, Visa, MasterCard, or Discover.

Cardholder Name (Please Print):
 
VISA, MASTERCARD, DISCOVER, AMEX:

  
Account Number:

  
Expiration Date (MM/YYYY): 

  
Authorized Signature:

  
Please make checks payable to HomEx Medical.

Mail your order to:
HomEx Medical
1050 Hobart Road
Glenville, PA  17329

We will confirm receipt of your order via e-mail. Every effort is made to ship within 5 working days of receipt of your order.
THANK YOU For Choosing Absolute Experience!







| Return Home | DICTATION CD-ROM | DIGITAL DOWNLOADS | JUST FOR SCHOOLS | QUIZZES | DICTATION TAPE SETS | CONTACT US |
 
 



Copyright © 2010, HomEx Medical Transcription. All rights reserved.