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c We are currently subscribing to a Verdict Reporter, Inc. publication and would like to receive Medical Malpractice Reports for 1998 & 1999 with a subscriber discount. Enclosed is $187.82 ($175 + tax). c We are not currently subscribing, but would like to activate a subscription now to receive Medical Malpractice Reports for 1998 & 1999 with a subscriber discount. Please send us an invoice for the subscription indicated below and the discounted rate for the medical malpractice case compilation.
Please select one:
c
We are not interested in subscribing now, but would like to receive Medical Malpractice Reports 1998 & 1999 without the discount. Enclosed is $262.95 ($245 + tax).
c
We would prefer to pay for the above items by credit card:
Name and Billing Information:
Name ______________________________________________________
Firm Name _________________________________________________
Address ___________________________________________________
City ______________________________________________________
Number of attorneys in firm _______________________________
Email _____________________________________________________
c
We have a website, the Internet Address is: __________________________________________
c
We DO NOT have a webiste but would be interested in having one, please contact us about this.
Contact:
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