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Start Your Own Local or Nationwide Nursing Staffing Registry Business. A Hot Business Serving the 79 billion incoming Baby Boomers

OUR PRODUCTS ABOUT US ENTER STORE CUSTOMER SERVICE CAREER WITH US TESTIMONIALS WEB DESIGN
Print and mail or fax this order form.
Thank your for ordering. Print this form and fill out the information and return by mail or fax. Make checks payable to: NursePartners, 4303 Hadley Circle North - Suite A, Oakdale, MN 55128 or fax your order to 651-748-8596. If you have any questions, please do not hesitate to call us at toll free 1 - 866 - 773 -1190. ( We Accept Visa, MasterCard, Discover, American Express or E-Checks)

Item	Description	Price			Quantity	Total Price
	Standard Nursing Agency Pkg. (Hard copy with CD)	$109.95
	Standard Nursing Agency Pkg. (E-manual)	$99.95
	Starter Website	49.95
	Homecare Documents & Forms	$89.95
	Hosting & Maintenance Fees	$119.00/Year

					Outside USA S&H	$23.95
					2-3 Days Priority Mail	$5.40
					7- 10 Days First Class Mail.	Free
		Sales Tax Added To Minnesota Residents Only			6.5%
					Total Price
Billing Information				Shipping Information if different from billing
Name					Name
Address					Address
City, State, Zip					City, State
Phone No.					Zip Code
E-Mail					Notes
Credit Card No
Expiration
Signature			Date
Payment By Check: Place Check Here and Mail. Make Check Payable to NursePartners