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Massage Suite Order Form
*Company Name  
Contact  
Mailing Address  
 
City   State   Zip Code  
Phone   Fax  
^Email Address  
How Did You Hear About Massage Suite?  
* Legal Company Name is required information. The program cannot be sold without this information. Your Legal Company Name, which may just be your <First Name> <Last Name>, LMP, must be registered in the database when the program is shipped. This is the only required constraint in the program. There is no registration, renewal, expiring passwords or any other restrictions on the continuous uninterrupted use of the program for as long as you choose to use it.

^ Your email will only be used to notify you of available updates to the program. Your email address will not be given to anyone else for any reason. If you do not provide an email address, you will need to check the web site periodically to see if updates are available.

>> These instructions only apply to orders buying software, not the HCFA/CMS forms <<
You must enter your Company Name in the field at the bottom of the PayPal form.
Your shipment will be delayed if this information is not entered.
Please also include the email address that you would like the program update notices sent to.

Description
Price
Massage Suite v1.7 Delivered in the US

$150.00

CMS 1500 Single Laser/Inkjet Sheets, Qty: 25
Revised

$7.55

CMS 1500 Single Laser/Inkjet Sheets, Qty: 50
Revised

$8.65

CMS 1500 Single Laser/Inkjet Sheets, Qty: 100
Revised

$11.85

CMS 1500 Single Laser/Inkjet Sheets, Qty: 150
Revised

$13.15

CMS 1500 Single Laser/Inkjet Sheets, Qty: 200
Revised

$14.70

CMS 1500 Single Laser/Inkjet Sheets, Qty: 400
Revised

$22.70

CMS 1500 Single Laser/Inkjet Sheets, Qty: 500
Revised

$24.85

CMS 1500 Single Laser/Inkjet Sheets, Qty: 1000
Revised

$35.80

WA State Sales Tax for sales to residents of Washington.

8.8%

  
The Two Items Below Are Only For Sales Outside Of The United States
Massage Suite International v1.5 (Internet download)
Buyer is responsible for all taxes and fees that may be levied on this sale by your country.

$150.00 USD

Massage Suite International v1.5 (CD mailed)
Buyer is responsible for all taxes and fees that may be levied on this sale by your country.

$154.00 USD

Pay by Check (ship when cleared) or Money Order (immediate shipment).

Total Enclosed:

  
Payable To / Mail To:
Massage Suite
PO Box 731473
Puyallup WA 98373-0090

 

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