Folio Physician Database on CD-ROM Order Page (Single-User)

Please fill out the form on this page and click the "submit order" button at the bottom. We will send you an invoice to verify your order. You may also call or fax your order to the numbers below or print out this page and mail it with your check to the address at the bottom of this page. Click here for CD-ROM Pricing

If you prefer to place an order for the single-user Folio Physician Database on CD-ROM by credit card, click on any of the logos below to continue to our secure online credit card order form, otherwise complete the form below. For multiple-user or network applications, please call 1-800-223-2233 for custom pricing.

Please click any logo to purchase by credit card!

Phone: 1-800-223-2233
Fax: 1-508-862-8210
E-Mail: customerservice@foliomed.com
Mail: Our address is at the bottom of this page

PLEASE SELECT THE CD-ROMs YOU WISH TO ORDER
Item	Direct Marketing*
New England	Price	Qty
Massachusetts	$399
Connecticut & Rhode Island	$399
Maine, New Hampshire & Vermont	$399
New York - New Jersey - Ohio
New York (Upstate)	$399
New York City & Long Island	$399
New Jersey	$399
Ohio	$399
Sets
New England Set (All 6 NE States)	$749
New York Set (2 NY Directories)	$599
Northeast Set (NE set + NY set)	$1,099
All Directories	$1,499


Customer Information
PO Number:
Contact Name:		Phone:
Organization:		Fax:
Department		E-mail:
Billing Address		Shipping Address
Street:		Street:
Town, State:		Town, State:
Zip Code:		Zip Code:
Attention To:		Attention To:
Ordered By:

* 2,000 record downloads. Additional downloads are available.

Massachusetts residents will be charged 5% sales tax.

Shipping and Handling Charges:
CD-ROM order, $10


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