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UB-04 Computer Forms 1-part
  • 1-part continuous forms
  • 1,000 forms per box

UB-04 Computer Forms 1-part

SKU: 89201
$34.95Price

    VOLUME DISCOUNTS & PURCHASE ORDERS

    • If you are ordering are ordering five or more of this product, you may qualify for an additional discount.

    • Purchase orders are accepted from clinics, hospitals, third party payers, government agencies, and health plans.

    For quotes on volume purchases or to order using a purchase order please call (800) 633-7467.

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