Health News Order Form – August 2020 Edition 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 Member Number Practice Name * Contact Person Would you like to order? * 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. Attach Alterations Drop a file here or click to upload Choose File Maximum upload size: 10MB Type your alterations here: Attach Logo Drop a file here or click to upload Choose File Maximum upload size: 10MB Submit If you are human, leave this field blank.