Phys-X 7.0 Upgrade Order Form

Your Name _________________________________
Company Name _____________________________
Address ____________________________________
City ________________________State ____ Zip _____________
Phone ______________________
Fax ________________________

Upgrade from v5.0 or Earlier........................$100.00
Upgrade each Extra License Qty:_____ @ $30 = $______

Upgrade from v6.0 ........................................ $40.00
Upgrade each Extra License Qty:_____ @ $25 = $______

Additional New License Qty:_____ @ $60 = $______

Sub Total _______
CA residents add 8.125% sales tax _______
Shipping ...... $7.00
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 7.0 Upgrade Order Form

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