Click on the link below to download the Order Form for FLORIDA. Print the Order Form, fill it out and fax it with a copy of your current VOIDED script along with payment information to our toll free fax number:
Alternatively, you can print the order form, fill it out and mail it in with a VOIDED script and payment to:
National Rx Security
535 2nd Street, S.W.
Vero Beach, FL 32962
| SINGLE SHEET SCRIPTS |
| Quantity |
1000 |
2000 |
3000 |
4000 |
5000 |
10,000 |
| Price |
$34.95 |
$39.95 |
$59.95 |
$69.95 |
$86.95 |
$159.95 |
| 7% Tax** |
$2.45 |
$2.80 |
$4.20 |
$4.90 |
$6.09 |
$11.20 |
| S/H*** |
$7.95 |
$9.95 |
$10.95 |
$11.95 |
$11.95 |
$15.95 |
| Total |
$45.35 |
$52.70 |
$75.10 |
$86.80 |
$104.99 |
$187.10 |
|
| 2-PART SCRIPTS* |
| Quantity |
1000 |
2000 |
3000 |
4000 |
5000 |
10,000 |
| Price |
$79.95 |
$135.95 |
$161.95 |
$189.95 |
$235.95 |
$411.95 |
| 7% Tax** |
$5.60 |
$9.52 |
$11.34 |
$13.30 |
$16.52 |
$28.84 |
| S/H*** |
$8.95 |
$10.95 |
$11.95 |
$12.95 |
$12.95 |
$16.95 |
| Total |
$94.50 |
$156.42 |
$185.24 |
$216.20 |
$265.42 |
$457.74 |
|
* 2-PART = 50 Original scripts and 50 blank copy sheets
** If you are tax exempt, delete tax amount from total, and supply a copy of your tax exempt number.
*** For AK, HI, and PR, there will be an extra $10 added to cover the additional Priority Mail shipping charges
|
