THIRD PARTY SIGNATURE LOG (padded)
Description:
THE SIGNER ACKNOWLEDGES RECEIPT OF
THE PRESCRIPTION FOR AN ELIGIBLE RECIPIENT,
AND ALSO THAT PHARMACIST COUNSELING HAS BEEN OFFERED.
The signature log is 8 1/2″ x 11″, printed in blue ink
on one side of 20 lb. white bond paper.
The forms are made up in pads of 100 and
pre-drilled for convenient
filing in a standard 3-ring notebook.
| QUANTITY | 1,000 (10 Pads), 2,000 (20 Pads), 3,000 (30 Pads), 5,000 (50 Pads), 10,000 (100 Pads), 20,000 (200 Pads), 30,000 (300 Pads), 50,000 (500 Pads), 100,000 (1000 Pads) |
|---|
Starts at $80.95
You save
| 1,000 (10 Pads) |
$80.95 You save |
| 2,000 (20 Pads) |
$145.95 You save |
| 3,000 (30 Pads) |
$199.50 You save |
| 5,000 (50 Pads) |
$309.25 You save |
| 10,000 (100 Pads) |
$539.75 You save |
| 20,000 (200 Pads) |
$1,024.95 You save |
| 30,000 (300 Pads) |
$1,495.00 You save |
| 50,000 (500 Pads) |
$2,162.00 You save |
| 100,000 (1000 Pads) |
$3,950.00 You save |
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