Health News Order Form It’s time to order the next edition of Health News. Please ensure your correct Member Number and Contact Person are entered – these are required fields, so we can correctly identify your order. HN Order Form If you are human, leave this field blank. Member Number Practice Name (REQUIRED) * Contact Person Would you like to order (REQUIRED)? * Yes No Please indicate how many printed copies you wish to order. * Repeat my last order 50 Copies 75 Copies 100 Copies 125 Copies 150 Copies 175 Copies 200 Copies 250 Copies 300 Copies 350 Copies Other quantity eNewsletter options eNewsletter - Bundled with print order (only $25) eNewsletter - Digital only order ($111) Do you have any changes to make to your practice information? Please select one of the following. * No Alterations - Go ahead and print. Minor Alterations - Only minor changes, no need to send me a draft for sign-off. Major Alterations - Plenty of changes, send us a draft for confirmation. Type your alterations here: Attach Alterations Drop a file here or click to upload Choose File Maximum upload size: 10MB Attach Logo Drop a file here or click to upload Choose File Maximum upload size: 10MB Submit
