Order Form


To order your copy (copies),
please call (612) 728-8600 or print this page and mail or fax this form to:


Minnesota Physician Publishing, Inc.
2812 East 26th Street
Phone: (612) 728-8600 / Fax: (612) 728-8601

 

Please send copies at $17.00 each =
Include $1.19 tax (7%) per edition =
Include $1.67 per edition for postage and handling =
Total Enclosed =


Name:
Address:
City, State, Zip:
Phone/Day: Eve:

Check Enclosed Bill Me Visa MasterCard Card# Exp. Date:

(You can also order by clicking on the "Order" button below, but if you're paying by credit card,
leave the "Card#" and "Exp. Date" fields blank. We don't recommend transmitting your credit card
information over the Internet. Submit your order and call us with the card information.)

You can e-mail us your submission by clicking the button below.
Or print this page and fax it to: (612) 728-8601
Or mail it to: Minnesota Physician Publishing, Inc.
2812 East 26th Street
Minneapolis, MN 55406


Minnesota Physician Publishing reserves the right of category placement and inclusion. We make every effort to publish information that is current and accurate. We cannot guarantee errors will not occur. Minnesota Physician Publishing is not responsible for the accuracy of the material suppplied by advertisers or in the listings.
MPP | Minnesota Physician | Employee Benefits Planner | MedFAX
Vital Signs | Medical Services Directory | MN Healthcare Roundtable

Minnesota Physician Publishing, Inc.
2812 East 26th Street
Minneapolis, MN 55406
Phone (612) 728-8600; FAX (612) 728-8601
Questions? Comments? Letter to the editor?
E-mail them to us at:
comments@mppub.com