Complete the information on this form. You'll then be directed to a Secure Shopping Cart where you can submit your payment information. Your Full Name: Street Address City/Town State Zip Code Your email Address: Daytime Telephone Number: x x x - x x x - x x x x Please Check Each Product You'd Like To Buy: Medical Transcription Course Option A - Text Workbook w/ CD ($467) Option B - Digital Download * ($467)        * Must have broadband or better internet connection.          You need the digital software/foot pedal for this option. Option C - Text workbook w/ cassette tapes ($467) Option D - 3 Easy Payments ** ($229.95)        (You will receive the course in three sections as you pay for them.         Your credit card will be charged 3 times, once per month for this amount.        Includes Olympus Transcription Kit Inc RS232 Foot Switch.) Spell Check Software - $105 Taber's Cyclopedic Medical Dictionary - $39.95 American Drug Index - $79.95 The Medical Word Book - $49.95 The Surgical Word Book - $49.95 Stedman's Orthopedic Words - $44.98