Case File Management Purchase Form

"USS CFMS" Purchase Form To Purchase "USS CFMS" Case File Management System for a 50% Introductory Price of $895.00 Fill In This Form and Press Continue.
Click Check Box to Purchase "USS CFMS"
Program Cost	With Client User License
Additional Client Licenses at $95.00 each	Additional License = Total
Total Client License
Sub Total
N.J. State Sales Tax (6%)
Grand Total

Purchaser Name:
Contact Full Name if Purchased by Company
Address:
Address:
City:
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Country:
Phone:	Fax:
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NOTE: No information is sent to Universal Systems Solutions, Inc. via email by using this form. The next step when you press the "Continue" button will display a form with the above information you entered. You then will be able to print the form and send it to Universal Systems Solutions, Inc. using your postal service.

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