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Order Washington Scripts by Fax/Mail/E-Mail
Click on the link below to download the Order Form for WASHINGTON. 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 |
$57.95 |
$65.95 |
$91.95 |
$105.95 |
$126.95 |
$222.95 |
| S/H** |
$12.95 |
$14.95 |
$15.95 |
$16.95 |
$17.95 |
$22.95 |
| Total |
$70.90 |
$80.90 |
$107.90 |
$122.90 |
$144.90 |
$245.90 |
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| 2-PART SCRIPTS* |
| Quantity |
1000 |
2000 |
3000 |
4000 |
5000 |
10,000 |
| Price |
$107.95 |
$174.95 |
$205.95 |
$239.95 |
$294.95 |
$505.95 |
| S/H** |
$13.95 |
$15.95 |
$16.95 |
$17.95 |
$18.95 |
$29.95 |
| Total |
$121.90 |
$190.90 |
$222.90 |
$257.90 |
$313.90 |
$535.90 |
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* 2-PART = 50 Original scripts and 50 blank copy sheets
** For AK, HI, and PR, there will be an extra $10 added to cover the additional Priority Mail shipping charges
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