Phys-X 6.0 Upgrade Order Form

Your Name _________________
Facility Name _
Address __
City State Zip _
Phone
Fax ____

Upgrade from v4.0 or Earlier................. $100.00
Upgrade from v5.0 .................. $75.00
Upgrade Extra License .............. CALL
Sub Total _
CA residents add 8.75% sales tax _
Shipping ...... $5.00
Total ___

REGISTRATION CODE #:__________________________
To verify your upgrade elegibilty, please write your Registration Code Number on this form. Or contact Arena Health Systems.

..... Print and Fax this form with your Company Purchase Order to 707-882-3950 .....

Shipping is via Priority Mail (2nd day)

To Order... Call toll free: (800) 265-1950
Fax: (707) 882-3950

Mail Address
Arena Health Systems
PO Box 341
Point Arena, CA 95468

Phys-X 6.0 Upgrade Order Form

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