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Electronic Medical Records (EMR)
The Most Advanced/Cost Effective System Available!
Your Own Personal/Private, Safe and Secure EMR



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EMRpetStick DATA INPUT FORM

Compact swivel unit

EMRStick or EMRPetStick - Only $38.95 each + one-time $20 USD setup
Ultra EMRStick - $58.95 USD each (Includes EMRStick)
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Multiple quantities and other products may be ordered: (See Order Form below)

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    Please complete the following form:
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    *Today's Date: *Name: *Address1: Address2: *Town/City: *State: *Zip Code: Province: *Country: *Phone Number: *Your E-Mail Address: (Only for us) Your Internet Address:

    Select Product

    EMRStick $58.95 + $20.00 USD Setup Compact Swivel Unit Quantity Desired:
    ---------------------------------------------------------------------------
    EMRPetStick $58.95 + $20.00 setupQuantity Desired:
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    Compact Swivel Unit $38.95 + $20.00 setup Our Most popular unit Quantity Desired: ---------------------------------------------------------------------------- Ultra EMRStick $58.95 (Includes EMRStick) Compact Swivel Unit Quantity Desired: $58.95 each

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    (Our system is protected by full encryption)

    Please make checks and money orders payable to: Medstick Corporation
    Mail to: 3619 E Verdin Road, Phoenix AZ 85044 U.S.A.
If you prefer, you may call us at 480 899-4463 and order the EMRStick.
Medstick Corporation • 3619 E Verdin Rd., Phoenix, AZ 85044 USA
• Ph: 480 899-4463 or e-mail: larry@emrstick.com