Work Loss Data Institute
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San Diego, CA

Corpus Christi, TX

 

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Texas Multiple User Form

Yes!  Please send me the following version(s) of the 2012 Official Disability Guidelines Product Line for the following users.  If I am not satisfied within 30 days of receipt, I may return the item(s) for a complete credit or refund.

Each prepaid order includes a copy of the abbreviated text, ODG Top 200 Conditions, at no added charge.

Please provide the following ordering information for the ODG Treatment Library (includes complete access to Official Disability Guidelines and ODG Treatment in Workers Comp):

QTY ODG Treatment (Treatment Guidelines plus ODG) - (prices in US dollars) 
ODG Treatment Library on the Web - $162.50/user/year (reg. $325) - The Web version is the official "current" edition of ODG at any point in time according to TDI.* 

*If you would like to supplement your online access with the three volume textbook library, please call WLDI at 1-800-488-5548. The textbook library is available to Texas users for $243.75 (plus $20.11 tax) - 25% off the regular price of $325

Please provide the following contact information for the main contact and then enter additional users below (please note - pressing "Enter" will submit form):

Name        

 

Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
Form for multiple users - please contact us for more than 10 users
Name E-Mail Address
User 1
User 2
User 3
User 4
User 5
User 6
User 7
User 8
User 9
User 10

 

In addition to free shipping (US and Canada only), pre-paid orders will also receive a free Top 200 Conditions book (a $99 value)!

To pre-pay, fill out the secure, encrypted credit card info below for prepayment or print this page and return it with your check to WLDI, 169 Saxony Road, #101, Encinitas, CA 92024.   (Federal ID 06-1428958):  

Pre-Pay Here (save $8 s/h)
Credit Card
Cardholder Name
Card Number
Expiration Date

I don't want to receive the free Top 200 Conditions book or free shipping. Please bill me for my order plus $8 shipping and handling.*

* Prepayment required on all hard-copy book and ODG for eReader orders. 

Please enroll me in auto-renewal. I understand I can opt out of auto-renewal at anytime now or in the future, but I prefer the convenience of not having to re-subscribe every year. I will be alerted approximately six weeks in advance of my auto-renewal date and given the option of canceling, adding users, or just auto-renewing as-is.

How did you find out about ODG?


Please be more specific about previous answer, if applicable/possible, or use this space for comments:

THIS FORM IS ROUTED TO A SECURE CORPORATE ADDRESS AT WORK LOSS DATA INSTITUTE. 

 
 

 

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Copyright © 2011 Work Loss Data Institute
Last modified: December 29, 2011