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File: Medicine Pdf 115712 | 2013 Im Individual Order Form
2014 internal medicine individual order and registration form product price qty total internal medicine th 480 qinternal medicine core curriculum 15 edition isbn 1 932703 62 4 see below for ...

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        2014 Internal Medicine Individual Order and Registration Form
          Product                                                                                                                                     Price                                    Qty         Total
          Internal Medicine
                                                                      th                                                                              $480
         qInternal Medicine Core Curriculum (15  Edition)  (ISBN 1-932703-62-4)                                                                       *see below for combo discount
                                                                  ®                   TM                                                              $180
         q2013 Internal Medicine Core Scripts  Flash Cards   (ISBN 1-932703-63-2)                                                                     *see below for combo discount
         q2013 Internal Medicine Board-Style Questions & Answers  Books (ISBN 1-932703-64-0)                                                          $180
                                                                                                                                                      *see below for combo discount
         q2011 Internal Medicine Board-Style Questions & Answers  Books (ISBN 1-932703-44-6)                                                          $180
                                                                                                                                                       *see below for combo discount
         q2009 Internal Medicine Board-Style Questions & Answers Books (ISBN 1-932703-32-2)                                                           $180
                                                                                                                                                       *see below for combo discount
         qInternal Medicine Board-Style Questions & Answers  – Premium                                                                                q3 months = $180
                                                                                                                                                      q12 months = $300
         q2014 Internal Medicine Intensive Board Review Course                                                                                       $1,545
                                                                                                                                                      ($1,245 for residents/fellows.
                May 21–30, 2014 – Dallas, Texas                                                                                                       Must provide Program or Fellowship     
                                                                                                                                                      Director letter verifying status.)
         q2014 Video Board Review of Internal Medicine – Online                                                                                       $1,545
         q2014 Video Board Review of Internal Medicine – DVD                                                                                          $1,595
         q2014 Internal Medicine Recertification Board Review Course
                                                                                                                                                      $1,160
                IMPORTANT: Please indicate date of course you will attend:
         q March 6–9, 2014 – Dallas, TX    q September 4–7, 2014 – Washington, DC
         q2014 Recertification Video Board Review of Internal Medicine – Online                                                                      $1,160
                (print syllabus extra)                                                                                                               q$50 (print syllabus)
         q2014 Recertification Video Board Review of Internal Medicine – DVD                                                                         $1,210
                (print syllabus extra)                                                                                                               q$50 (print syllabus)
            *Combo Discount Offer: You can deduct $75 here if you are buying a combination of IM Core Curriculum  
                              ®
             plus IM Core Scripts  Flash Cards plus any IM Questions & Answers product on this same order. 
          MedStudy Internactive
         qHeart Sounds™ Online-only product                                                                                                           q3 months = $60
                IMPORTANT: Please indicate subscription term:                                                                                         q12 months = $200
         qSkin Signs™ Online-only product                                                                                                             q3 months = $45
                IMPORTANT: Please indicate subscription term:                                                                                         q12 months = $150
                                                                                                                                                                 Shipping amount enclosed
                                      Important Shipping Information                                                                                                                   (if applicable)
             Standard ground shipping (2–5 days) FREE to the continguous 48 states.                                                                                Total amount of my order
           For shipping options other than standard ground, please call 1-800-841-0547.
                                                                                                                                   (Applicable sales tax will be added to Colorado and Texas orders.)
        Name: _________________________________________________________________________                            Check all that apply:
                                                                                                                       q Internal Medicine   q  Pediatrics
        Address: _______________________________________________________________________                              q Initial Certification   q  Recertification
        City: ___________________________________________________________________________                             q Resident (indicate year)  q 1st  q 2nd  q 3rd
                                                                                                                       Anticipated Board Exam Date: __________  Year of Initial Certification: _________
        State: ________________________________________________ Zip _____________________                              If applicable, year in which you last took a Board Certification Exam: ___________
        Phone: (________) ______________________________________________________________                          Payment Information
                          (Required to process your order.)                                                       q Enclosed is a check or money order (U.S. funds) for total amount.
                                                                                                                  q Charge my:   VISA q MasterCard q
        Email: _________________________________________________________________________                          Account Number: ___________________________  Exp. Date: ____ / ____
        Required for use of online products. Activation instructions will be sent to this address. 
        We will not sell or give your name, address, e-mail address or phone number to any other  
        companies or telemarketers.                                                                               Signature: ____________________________________________________
                                                                                                                                    (Required for credit card orders.)
                                                                                                                  How to Order:                                                                                         ®
                                                                                                                  Online: www.medstudy.com                                              MedStudy 
        Group Order Discounts Available                           Registering for an Intensive                    Toll-Free: 1-800-841-0547
        for orders of 5 or more of any one product.               or Recertification course?                      FAX: 1-719-520-5973
        Call 1-800-841-0547 or e-mail                             Please read Cancellation Policies               Mail: Send this form along with payment to:
        customerservice@medstudy.com for information              on reverse side.                                MedStudy, 1455 Quail Lake Loop, Colo. Spgs, CO  80906
                                                                                                                                                                                                             Revised 03/12/14
                                                                                                                                    ®
           Important addditional information and notices                                                    MedStudy 
                                                                                                            1455 Quail Lake Loop
           FREE Shipping!                                                                                   Colorado Springs, CO 80906
                                                                                                            1-800-841-0547
           Standard ground shipping (2–5 day delivery) is free to anywhere in the 
           48 contiguous states. For overnight express delivery, for delivery to Hawaii, Alaska, 
           Puerto Rico or Canada, or for delivery to other international addresses, please call 
           1-800-841-0547 for assistance. 
           FREE CME!
           For original purchasers who buy products or courses directly from MedStudy,  
           AMA PRA Category 1 Credits™ are available free of charge. Visit 
           www.medstudy.com to learn what credits are offered with each product, 
           how to apply for CME, and other details about our CME program. 
           Worry-FREE! Satisfaction Guaranteed
           Not sure if MedStudy is for you? We allow a 2-week return policy on any print or 
           software product (except online-only products) to allow you time to decide whether 
           or not you wish to keep it. Please see details on the Refund/Review sticker that 
           is affixed to each product. To be eligible for refund, the complete product must be 
           returned and, if a product’s Return/Refund instructions specify it, sealed materials 
           must remain UNOPENED to qualify for refund. A Return Merchandise Authoriza-
           tion (RMA) number must be obtained prior to sending products back. In all cases, 
           refunds will be issued when returned products are received at MedStudy, minus a 
           $20 restocking fee. (Initial and return shipping charges not refundable.) If you have 
           any questions or to get an RMA number, please call 1-800-841-0547. 
           Try us before you buy us ... FREE!
           There is more than one way to try MedStudy for free—no purchase necessary. Go 
           to www.medstudy.com/try-it-free.html for a free 24-hour trial of our online products, 
           or to download/view the entire Pediatrics Cardiology topic of any of our print  
           products. We’re confident that you’ll like what you see. 
                                                                                                           Course Cancellation Policies
                                                                                                           IM Intensive Course Cancellation Policy:
                                                                                                           Service charges will be deducted from refunds on Intensive Course 
                                                                                                           cancellations or changes based on when request is made as follows:
                                                                                                            •  30 days or more before Day 1 of the Course – a $100 service charge
                                                                                                            •  1–29 days before Day 1 of the Course – a $200 service charge
                                                                                                            •  Day 1 of the Course or later  – No refund will be given.
                                                                                                           IM Recertification Course Cancellation Policy:
                                                                                                           Service charges will be deducted from refunds on Recertification 
                                                                                                           Course cancellations or changes based on when request is made  
                                                                                                           as follows:
                                                                                                            •  30 days or more before Day 1 of the Course – a $100 service charge 
                                                                                                             (may be applied as credit toward future Course)
                                                                                                            •  1–29 days before Day 1 of the Course – a $200 service charge 
                                                                                                             (no future Course credit)
                                                                                                            •  Less than 10 days before Day 1 of the Course or later  –  
                                                                                                             No refund will be given.
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