Practice transcription physician dictation mail order form.

Name :

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, OR DISCOVER:



Account Number:



Expiration Date (MM/YYYY):



Authorized Signature:


Please make checks payable to Absolute Experience.

Mail your order to:
Absolute Experience
303 South Broadway, Ste 200, PMB 173
Denver, Colorado 80209

If paying by Credit Card, you may also fax your order to: 1-888-597-8457.
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!


	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 : 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, OR DISCOVER: Account Number: Expiration Date (MM/YYYY): Authorized Signature: Please make checks payable to Absolute Experience. Mail your order to: Absolute Experience 303 South Broadway, Ste 200, PMB 173 Denver, Colorado 80209 If paying by Credit Card, you may also fax your order to: 1-888-597-8457. 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 \| CD-ROMs .WAV Format \| Dictation Products \| Audio Samples \| Absolute Facts \| Q&A \| Contact Us! \|