Physicians Office Resource Volume 7 Issue 10

#8426 #8425 Physicians Office Resource Information Card 8400 Physicians Office Resource Information Card 6100/6200 8400 8409 8418 8427 8436 8445 8454 8463 8472 8481 8401 8402 8403 8404 8405 8406 8407 8408 8410 8411 8412 8413 8414 8415 8416 8417 8419 8420 8421 8422 8423 8424 8425 8426 8428 8429 8430 8431 8432 8433 8434 8435 8437 8438 8439 8440 8441 8442 8443 8444 8446 8447 8448 8449 8450 8451 8452 8453 8455 8456 8457 8458 8459 8460 8461 8462 8464 8465 8466 8467 8468 8469 8470 8471 8473 8474 8475 8476 8477 8478 8479 8480 8482 8483 8484 8485 8486 8487 8488 8489 Circle the product #’s that correspond with the items you would like more information on. First _______________________ MI ____ Last ___________________________ Suffix ______ Facility Name __________________________________________________________________ Street _________________________________________________________________________ City _______________________________________________ State ______ Zip ____________ Phone ___________________________ E-mail _______________________________________ Specialty ______________________________________________________________________ Are You Budgeted? Yes No Buying Time Frame: Immediate Purchase Please continue my FREE subscription to (POR) Physicians Office Resource monthly medical digest. 2-3 Months 4-6 Months Over 6 Months Comments ____________________________________________________________________ Signature ________________________________________________ Date ________________ www.PhysiciansOfficeResource.com 17

Physicians Office Resource Volume 7 Issue 10 | Page 17