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Required items are in red.

Type of Facility/Specialty: 
If you specified "other", please state the specialty: 

Contact Person: 
Name of Facility
Address:            
City:                       State:           Zip: 



Email Address: 
Phone Number: 

Are you currently dictating?  Yes No
If yes, what type of recording sytem is being used? 
Are you currently using a transcription service?  Yes No
Projected Volume of dictation in lines or minutes per day:  Minutes Lines
Turnaround time needed? 

Additional information you would like us to have: 

Contact Information

Telephone
704.377.3633
 
FAX
704.374.0503
 
Postal address:
115 S. Torrence Street, Charlotte, NC 28204
 
Electronic mail:       
Sales:  sales@specinfomgmt.com

       
 

 

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