Phys-X 7.0 Upgrade Order Form

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Your Name _________________________________
Company Name _____________________________
Address ____________________________________
City ________________________State ____ Zip _____________
Phone ______________________
Fax ________________________

Upgrade from v5.0 or Earlier........................$100.00
Upgrade each Extra License Qty:_____ @ $30 = $______

Upgrade from v6.0 ........................................ $40.00
Upgrade each Extra License Qty:_____ @ $25 = $______

Additional New License Qty:_____ @ $60 = $______

Sub Total _______
CA residents add 7.875% sales tax _______
Shipping ...... $7.00
Total _______

REGISTRATION CODE #:__________________________
To verify your upgrade elegibilty, please write your Registration Code Number on this form.


Shipping is via Priority Mail (2nd day)
Mail Address
Arena Health Systems
PO Box 341
Point Arena, CA 95468

e-mail to:
sales@arenahealthsystems.com


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