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If you would like the ViewPoint Training and User’s Guide sent to you, please fill out the form below. We will send a printed manual to your main office location and up to one additional manual to a satellite office location listed in our records. If you have specific delivery instructions, please let us know in the special shipping instructions box.
* Required information
	* Yes, please send a printed ViewPoint Training & User's Guide manual to my practice.
Ortho2 Customer ID	(if applicable)
* Practice Name
* Office Contact Name	(if different from above)
* Address1
Address2
* City
* State/Province
* Zip/Postal code
E-mail
Phone	(ex. 555-555-5555 - no spaces)
Please enter any comments regarding special shipping instructions in the space provided below:

The "Practice Name" field is required.
The "Contact Name" field is required.
The "Address 1" field is required.
The "City" field is required.
The "State/Province" field is required.
The "Zip/Postal Code" field is required.


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Ortho2 \| 1107 Buckeye Avenue \| Ames, Iowa 50010 \| Sales (800) 678-4644 \| Support (800) 346-4504