Home > MEDICAL / CHIROPRACTIC > Medical Forms > CMS, UB-04,ADA-Medical Claim > ADA Dental Claim Form > Envelope
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ADA Claim #9 Window Envelope 4-1/8" x 8-7/8" Imprinted with your facility name, address, & phone number. Inside Tint Self Seal Flap. 24# White Wove Window Size 4 1/8" x 7/8" Window 1/4" From Left Window 3/4" From Bottom Item# Item Name List Price Your Price Qty Add 1)-500-Quantity / ADA Imprinted Envelope / $135.00 $82.95 2)-1000-Quantity / ADA Imprinted Envelope / $195.00 $130.95 3)-2500-Quantity / ADA Imprinted Envelope / $375.00 $275.95 4)-5000-Quantity / ADA Imprinted Envelope / $640.00 $503.95 Check the items you wish to purchase, then click Freight, Returns & Sales Tax Policies: FREIGHT CHARGES ACS always confirms to our customers total amount to be charged including freight costs before order is processed. RETURNS There is a 15 day return policy. Customers have 15 days to return products after they have received them. Products are not returnable after this time. Returns are subject to a restocking fee of 25%. If the return is a result of our error, we will issue a call tag. We grant returns on products only if the product and the packaging are in re-sellable condition. Custom products are not returnable. SALES TAX ACS charges sales tax if you are a Texas resident, Texas State Sales Tax will be added at the time your order is invoiced. If you are tax exempt you must provide a Texas Sales Tax Exemption Certificate. Products Frequently Bought Together Bilingual Privacy Patient Sign-In Outguides Month Label Custom 8 Tab Poly Divider Set Your Price: $66.95 Add Your Price: $79.50 Add Your Price: $10.95 Add Your Price: $4.69 Add End Tab Expansion Pockets Medi-Clip/Docu-Clip 11 pt Manila 2 Ply End Tab Custom 6 Tab Divider Set Your Price: $79.00 Add Your Price: $42.50 Add Your Price: $42.95 Add Your Price: $2.10 Add Poly Stick-On Pockets Times 2 Speed Cabinet ACS Sliding Lateral Track Numeric Label Your Price: $24.00 Add Your Price: $4,500.00 Add Your Price: $6,500.00 Add Your Price: $19.95 Add ACS QuickStrip File Folder Labels, 6-up on 8.5 x 11 Sheets (package of 600) Radiology Jacket ALLERGY LABEL Custom 6 Tab Fileback Set Your Price: $175.00 Add Your Price: $85.00 Add Your Price: $10.95 Add Your Price: $3.18 Add Heavy Duty Vinyl Stick-On Pockets 36" Wide File Shelving 14 pt Manila 2 Ply End Tab 11 pt 2 Ply Color End Tab Folders Your Price: $36.00 Add Your Price: $725.00 Add Your Price: $45.95 Add Your Price: $235.00 Add TAB Match Year Label Double Ply Top Tab Pocket Alpha Label Barkley Match Your Price: $13.95 Add Your Price: $59.50 Add Your Price: $12.95 Add

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