Work Loss Data Institute
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San Diego, CA

Corpus Christi, TX

 

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Yes!  Please send me the 2012 State Report Cards for Workers' Comp

Please provide the following contact information (please note - pressing "Enter" will submit form):

Name        
Title
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Address (cont.)
City
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Please check which version you prefer to receive:

QTY 2012 State Report Cards for Workers' Comp
  Electronic version (comes in an email with as a Zip file Word and Excel files, with working links)
**This is the recommended version** $250
  PDF Version (arrives via email, but does not contain working links) $250
  Hard Copy Booklet $250 + $8 s/h + tax*

*Applicable sales tax will be added to CA (7.75%) and TX (8.25%) orders

Fill out the secure, encrypted credit card info below for prepayment and receive FREE shipping and handling within US and Canada (for orders outside the US and Canada, appropriate airmail charges will apply) or print this page and return it with your check to WLDI, 169 Saxony Road, #101, Encinitas, CA 92024.   (Federal ID 06-1428958):  

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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