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PH-233 3-Part Pharmacy Register Form
PH-233 Pharmacy Register Form
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PH-233 3-Part Pharmacy Register Form
Part Number:
PH-233-3
$60.90 For 250 Forms
Retail Price:
$88.64
4" x 6.5" Pharmacy 3-Part Register Form
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IMPRINT COLOR
*
Blue
Black
Red
Green
IMPRINT INFORMATION
Company Name:
Address:
City State Zip:
Phone & Fax Enter As (000) 000-0000 Fax:(000) 000-0000 :
Advertising Line:
NUMBERING
Starting Number (Default is 0001001):
LOGO UPLOAD
Upload Logo (Black & White Artwork Only):
Put me on the Waiting List
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Quantity Pricing
Quantity
Price Each
250
$0.2436
500
$0.1574
1000
$0.1121
2000
$0.0903
3000
$0.0833
Description
Product Features
>
This pharmacy form is designed to give your customer all the specifics they need, including the medication, doctor and patient information. When making deliveries, use a form that shows what has been ordered, how payment is to be made and contains a line for the customer's signature.
# OF PARTS:
3
FORM PAPER:
CARBONLESS
FORM SIZE DETACHED:
4" x 6.5"
FORM SPECIFIC:
REGISTER FORM
PAPER SEQUENCE:
WHITE, CANARY & PINK
PRODUCTION / SHIPPING TIME:
ALLOW 8 TO 10 WORKING DAYS FOR DELIVERY
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