S E Q
U O I A V
I S I
O N S
Visit our webpage at www.SequoiaVisions.com
Sales
and Technical Number (888)
737-8642
Facsimile
Number (775) 849-8423
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Name: |
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Email ( For future notice of upgrades ) : |
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Shipping Address: |
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City, State and Zip code: |
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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
_____________________________________________________________________________________________
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.