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PTC Business Card Order Form
PTC Business Cards
Select Front
*
Personal Card
Appointment Card
Back A
Back B
Back C
Select Back
*
Personal Card
Appointment Card
Back A
Back B
Back C
Quantity Needed
250 - Regular ($34 + tax/sh.)
250 - Rounded Corners ($41+ tax/sh.)
500 - Regular ($37 + tax/sh.)
500 - Rounded Corners ($50 + tax/sh.)
1000 - Regular ($40 + tax/sh.)
1000 - Rounded Corners ($61 + tax/sh.)
If you would like a quantity other than the ones listed below, please include in special notes.
Name, Credentials
*
Title(s)
*
Physical Therapist
Physical Therapist Assistant
Athletic Trainer
Board Certified Orthopaedic Specialist
Fellow in the American Academy of Orthopaedic Manual Therapists
Office Manager
Clinic Liaison
Check all that apply. If there are any other titles you'd like to add, please include in special notes.
Phone
*
Cell Phone - Optional
Fax
*
Email
*
Location
*
Bethany
Blanchard
Chickasha
Choctaw
Davis
Edmond East
Edmond North
Edmond West
Elk City
Guthrie
Kingfisher
Lawton
Lindsay
Midwest City
Moore
Mustang
Newcastle
Nichols Hills
Noble
Norman
Norman West
Oklahoma City Midtown
Oklahoma City Northeast
Oklahoma City Northwest
Oklahoma City Southeast
Oklahoma City Southwest
Oklahoma City South
Pauls Valley
Shawnee
St. Anthony North
Stillwater
Yukon
Send Proof To:
By default, the proof will be sent directly to the person named on the business card. If the proof needs to be reviewed by someone other than the name listed on the card, please enter the reviewer's email address here.
Special Notes:
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