TREASURE HUNT ON MY FAMILY FRIENDLY BEACH
www.collectibletreasures.net/supertoolsorder.htm
EVERY EMAIL IS ANSWERED
PRIVACY: VISITOR INFORMATION IS NOT GATHERED OR DISSEMINATED - PERIOD !
REFRESH-RELOAD FOR UPDATES & SAVE AS FAVORITE

YOUR INQUIRIES ARE MOST WELCOME
FL BOARD OF MASSAGE THERAPY APPROVAL # MCE-322-03, COURSE # 2363
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ORDER FORM Thank you so much for your Order ! Please allow two weeks for delivery. Mail or E-mail Order toSherry Smith, LMT Health, Naturally • 2831 Ringling Blvd, Ste D-114 • Sarasota, FL 34237-5352 toll free: 1-866-865-2906 • supertools@comcast.net • Office: 941-954-1909 |
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FULL PACKAGE INCLUDES ALL LICENSE FEES ARE THOSE IN EFFECT AT TIME OF ORDER |
$ 195.99 |
$ |
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$uperBill ™ |
$ 49.99 | |
| $uperNotes ™ AND HINTS FOR COMPLETING $uperNotes ™ | $ 39.99 | |
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COMPREHENSIVE INTAKE |
$ 39.99 | |
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PHYSICIAN'S RX WITH UNIVERSAL TREATMENT PLAN |
$ 29.99 | |
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REFERRAL THANK YOU PROFESSIONAL & CLIENT VERSIONS |
$ 29.99 | |
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GIFT CERTIFICATE Circle style - Standard Postcard |
$ 19.99 | |
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WELCOME POSTCARD |
$ 19.99 | |
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REMINDER POSTCARD |
$ 19.99 | |
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INVOICE FOR PATIENT RECORDS |
$ 12.99 | |
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CARRIER NOTICE - PAYMENT DELAY |
$ 12.99 | |
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CARRIER NOTICE - TREATMENT COMMENCEMENT |
$ 12.99 | |
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PATIENT ACCOUNT SUMMARY |
$ 9.99 | |
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LAWS GOVERNING PAYMENT TO FL LMTS |
$ 9.99 | |
| FEE ARTICLE FEE SCHEDULE FORMAT LETTERHEAD FAX COVER PAGE HINTS FOR PKG USE DOOR HANGER |
complimentary for full pkgs | |
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ALL ORDERS ADD (Under $50 = $4.50) ($50 or More = $7.50) |
S / H |
$ |
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CHECK MONEY ORDER MC VISA AMEX DISCOVER CIRCLE PMT TYPE CKS & MO PAYABLE TO: SHERRY SMITH, LMT |
TOTAL |
$ |
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CREDIT CARD PAYMENT | ||
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Cardholder Signature | ||
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Billing Address | ||
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Card Number Exp Mo & Yr Ph | ||
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$uperTools are Personalized EXACTLY AS INDICATED BELOW | |
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Therapist Name & Designation (s) Ex: LMT, NMT, CT, RPP, MT, PT |
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Therapist Lic 2 letters, 7 digits (FL) |
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| Establishment Name | |
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Establishment Lic 2 letters, 7 digits (FL) |
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Mailing Address |
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City & State |
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Zip + 4 |
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Office Phone |
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Fax |
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Pager or Cell Circle one |
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_______________________@________________________ |
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Web Site |
www. |
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Blue Cross-Blue Shield Provider # |
C - ____ ____ ____ ____ |
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Fed Tax ID # Choose one Soc Sec # |
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Include Colon Hydrotherapy on $uperBill |
__ YES __ NO |
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For referral incentive, complete sentence "Please bring this Thank You to your next treatment and receive …" |
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Option 1, Standard Incentive: "a $5 reduction on your treatment or the purchase of a Gift Certificate" |
__ YES __ NO |
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Option 2, Create Your Incentive: max 70 characters & spaces
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__ YES __ NO |
INSTRUCTIONS FOR SENDING BY EMAIL:
HIGHLIGHT & COPY ENTIRE ORDER FORM
PASTE INTO BLANK EMAIL SET TO HTML (RICH TEXT) FORMAT
INSTRUCTIONS FOR PRINTING:
HIGHLIGHT ENTIRE ORDER FORM, RIGHT CLICK & PRINT SELECTION OR
HIGHLIGHT, COPY/PASTE INTO ANOTHER APPLICATION OR
PRINT ENTIRE PAGE
HOW TO ORDER
VISA, MASTERCARD, AMEX, DISCOVER, CHECK, MO
PAYMENT IN U.S. DOLLARS
PHONE
LEAVE NAME & NUMBER. YOUR CALL WILL BE PROMPTLY RETURNED.
941-954-1909
E-MAIL ORDERS
EMAIL name, address, phone, payment method.
Your transactions are processed on a SECURE server.
SNAIL MAIL
CHECKS & MO PAYABLE TO: SHERRY SMITH, LMT
SHERRY SMITH, LMT • HEALTH, NATURALLY
RINGLING PROFESSIONAL CENTER
2831 RINGLING BLVD • STE D-114
SARASOTA, FL 34237-5352
TO SHERRY
CONVENIENTLY LOCATED AT FRUITVILLE & TUTTLE
EASY ACCESS FROM I-75, EXIT 210 WEST (OLD EXIT 39)
Ringling Professional Center
2831 Ringling Boulevard, Suite D-114
Sarasota, FL 34237-5352
Office 941-954-1909
HEALTH, NATURALLY CLINIC OWNER
FL licensed massage therapist SINCE 1980
nationally registered polarity therapy practitioner
internationally certified infant massage instructor
certified natural health care practitioner
fl board of massage therapy continuing ed provider
fl license ma 0003747
fl licensed establishment ma 0004319
OPEN TREASURE MAP FOR ALL TREASURES
QUICK LINKS
SHERRY'S COLLECTIBLE TREASURES
FUN & FINE COLLECTIBLES: BEANIES, PLUSH, ATTICS, SPORTS +
MASSAGE THERAPY, HOLISTIC SERVICES & PRODUCTS
ENGAGING THE POWER THAT HEALS
BED BUDDEES | PANASONIC MASSAGE LOUNGERS | $UPERTOOLS
SKATER POWERBOATS BY DOUGLAS MARINE
and Continuing Education Workshops
12 Continuing Education hours for fl LMTs,
or just because you want to experience or learn
this incredible energy bodywork,please forward your name, address, phone, e-mail
TO BE ADDED TO my mailing list for upcoming WORKSHOPS
Professionals * students * non-professionals
ARE WELCOME
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