Fill out this form, print it out, and fax to McVey Associates at 415-892-1271.

Teleconference Recording Order Form

The price of this set of recording is $405 (shipping and handling included). Please allow 3-4 weeks for delivery.

Teleconference Set: Peripheral Cardiology Coding For Lower Extremities and Carotids and Upper Extremities

Name:

Street Address:

City, State, Zip:

Office Phone Number:

Fax Phone Number:

Recordings are available on CD or cassette tape. Please select your media:

CD Cassette tape

Quantity: x $405/recording = $ total for this order

You can pay by credit card.

Credit Card: AMEX Mastercard Visa Discover Card

Expiration Date:

Signature:

Or, make check payable and mail, with this form, to:

McVey Associates, Inc.
150 Ford Way, Suite 100
Novato, CA 94945