S  E  Q  U  O  I  A      V  I  S  I  O  N  S

205 Scotch Pine Rd.       Reno, Nevada 89511

Visit our webpage at www.SequoiaVisions.com

 

                Sales and Technical Number                                                                              (888) 737-8642

                Facsimile Number                                                                                 (775) 849-8423

 

Name:

Email ( For future notice of upgrades ) :

Shipping Address:

City, State and Zip code:

Phone Number:

 

Purchase Demand Expert Plus *                                                                         Quantity    _____ $  900.00

* (Includes Code Express Professional)

Purchase Demand Expert                                                                                                  Quantity    _____        600.00


Purchase Medical Suite**                                                                                     Quantity    _____  1,700.00

** (Includes Medical Report Expert, SOAP program and both CPT and ICD-9 Code Express)

Purchase Medical Report Expert Plus *                                                                         Quantity    _____        900.00

* (Includes Code Express Professional)

Purchase Medical Report Expert                                                                                     Quantity    _____        600.00

Purchase SOAP  (Must have Medical Report Expert)                                                 Quantity    _____        900.00

Purchase Formatted Discussion Paragraphs Add-on                                                  Quantity    _____        300.00


Purchase Code Express Professional *                                                                           Quantity    _____     300.00

* (Includes both CPT and ICD-9 Code Express  ~ Must have Medical Report Expert or Demand Expert)          

Purchase Additional Workstation License                                                                     Quantity    _____       150.00

Purchase Registration for “ONLINE DEMAND”    One year subscription required for $948.00

 (Monthly fee of $79.00 will be charged after first year subscription has expired)                Quantity    _____     948.00

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Purchase Registration for Workshop ***                                                     Quantity     _____   1,500.00

*** (Discount of $500.00 for Current Customers)                                                          Quantity     _____   1,000.00

*** (Purchase Price includes Casino/Hotel accommodations and meals)

_____________________________________________________________________________________________
Sequoia Preferred Network   (Choose the level you want ~ See explanation in Network Section at our website)

    Silver ($50.00)                   Gold  ($100.00)             Platinum  ($200.00)                      Enter amount  here  _______

_____________________________________________________________________________________________

q            Sequoia Visions Colossus Seminar Workbook and/or Power Point.

Level I ($200.00 no/ppt)  Level II ($400.00 no/ppt)  Level I&II  ($500.00 no/ppt)  Powerpoint  ($150.00)    _______

 

Add Shipping and handling per order           (No Shipping and Handling charges for Network)                    15.00              

Total Purchase                                                                                                                                             $    _________

 

 

Select type of credit card: (Check One)

___Visa                                                                 ___MasterCard                                                ___American Express

Name on Credit Card if Different than above____________________________________________________

Card Number:        ______________________________ (Please Print Clearly)         Card verification #:______

Date of Expiration:  _____/_____     (Month/Year)       

 

This order form can be faxed directly to Sequoia Visions, Inc. at (775) 849-8423

 

MAKE CHECKS PAYABLE TO SEQUOIA VISIONS, INC.