|
||||||||||||||||||
|
||||||||||||||||||
| To Order Online: CLICK HERE | ||||||||||||||||||
| Print this form and fill out the information and return by mail. Make checks payable to: NursePartners, 4303 Hadley Circle North - Suite A, Oakdale, MN 55128. If you have any questions, please do not hesitate to call toll free 1 - 866 - 773 -1190. ( We Accept Visa, MasterCard, Discover, American Express or E-Checks) | ||||||||||||||||||
|
Item |
Description |
Price |
Quantity |
Total Price |
||||||||||||||
| 1001P | Nursing Agency Registry Business (Hard copy with CD) |
$109.95 |
||||||||||||||||
| 1001E | Nursing Agency Registry (Download) |
$99.95 |
||||||||||||||||
| 1002PH | Nursing Agency Registry with Homecare |
169.95 |
||||||||||||||||
| 1002EH | Nursing Agency Registry with Homecare (Download) |
159.95 |
||||||||||||||||
| 1003PW | Nursing Agency Registry with website. |
$159.95 |
||||||||||||||||
| 1003EW | Nursing Agency Registry with website. (Download) |
$149.95 |
||||||||||||||||
| 1004PWH | Nursing Agency Registry with website and Homecare Package (BEST DEAL) |
$199.95 |
||||||||||||||||
| 1004EWH | Nursing Agency Registry with website and Homecare Package.(BEST DEAL) Download |
$189.95 |
||||||||||||||||
|
Call |
||||||||||||||||||
| Shipping And Handling |
Outside USA S&H |
$23.95 |
||||||||||||||||
| 2-3 Days Priority Mail |
$5.40 |
|||||||||||||||||
| 7- 10 Days First Class Mail. |
Free |
|||||||||||||||||
| Sales Tax. Add 6.5% for MN Residents Only |
|
|||||||||||||||||
|
|
|
Total Price |
|
|
||||||||||||||
|
Billing Information |
Shipping Information if different from billing |
|||||||||||||||||
| Name | Name | |||||||||||||||||
| Address | Address | |||||||||||||||||
| City, State, Zip | City, State | |||||||||||||||||
| Phone No. | Zip Code | |||||||||||||||||
| Notes | ||||||||||||||||||
| Credit Card No | ||||||||||||||||||
| Expiration | ||||||||||||||||||
| Signature | Date | |||||||||||||||||
| © NursePartners 2008 | ||||||||||||||||||
