LP2617

Paris Business Products

Forms

<p>Expedite Medicare, Medicaid or private insurance claims processing. Forms meet all Federal regulations. Formerly known as HCFA-1500 forms.</p>

FOB	Dest	Frieght	UPS	Accessorials
	Street Address: Confirm Location Type With Customer
Qty Class Wt L W H	HAZ	Comm	Residence	Limited Acc Add Boxes
Qty Class Wt L W H	HAZ	Lift Gate	Call Prior	Inside Del
Qty Class Wt L W H	HAZ	GOV, EDU & NYC= Limited Access
Qty Class Wt L W H	HAZ	Add More Items
Qty	Dims: L W H	Wt

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*Company:
*Name:
*Email:
*Phone:
Address:
City:
State:
Ship to Zip code:
Location type:
Do you have a forklift or Loading Dock? Yes No
Do you Require a call to Schedule Delivery? Yes No