Sepember 2013 - Missouri State Chiropractors Association

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Sepember 2013 - Missouri State Chiropractors Association
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Want to STOP
a Malpractice
Claim?
Our Claims Advice
Hotline May Stop a
Claim in its Tracks
At NCMIC, our Claims Advice Hotline
staff has managed just about every type
of allegation. They know chiropractic
malpractice better than anyone and use
this knowledge to confidentially guide
doctors through potential claims situations.
ousands of D.C.s have averted a claim
aer calling the Hotline.* Stopping claims
before they start is just one more way
Call 1-800-769-2000, ext. 3120,
to find out more.
“We Take Care of Our Own.®”
www.ncmic.com
*Based on the claims data of NCMIC and its family of malpractice insurance companies since inception.
We Take Care of Our Own is a registered service mark of NCMIC Group, Inc. and NCMIC Risk Retention Group, Inc.
©2013 NCMIC NFL 3520-2
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
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 
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 
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       
        

          
        
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          
     

     
       

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       
       

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
       
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       
        
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        
      
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        
       
     
     
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

        
     
       
      
         
          
       
    
         
          
      
        

        
  
          
        

        
      
     
     
   
       
       
      
      
        
 

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
        

     
      

       

        
        
       
      
          

       
         
       
        
         
        
      
      

       

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
●● 
●
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
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MSCA 2013 MEMBERSHIP APPLICATION
If You’re Already A Member, Ask Another DC To Join!
Name _____________________________________________________________________________________________________
Practice or Company Name ____________________________________________________________________________________
Office Address ______________________________________
Home Address ________________________________________
City/State/Zip ______________________________________
City/State/Zip ________________________________________
Office Phone _______________________________________
Home Phone _________________________________________
Fax Number ________________________________________
E-mail Address _______________________________________
Office County ______________________________________
Date of Birth _________________________________________
Chiropractic College _________________________________________________________________________________________
Graduation Date ____________________________________
If student, Expected Graduation Date ______________________
Date & State of First Licensure _________________________
Missouri License No. __________________________________
Select MSCA Membership Level
The MSCA membership year is January 1 through December 31, 2013.
Monthly
Regular Member
Fourth-Year DC
Third-Year DC
Second-Year DC
First-Year DC
65 or Older
Faculty
Out-of-state
Associate (non-DC)
Student
Quarterly
Annually
$33.33
$100.00
25.00
75.00
16.66
50.00
8.33
25.00
FREE
FREE
16.66
50.00
16.66
50.00
8.33
25.00
16.66
50.00
($25 one-time charge or $10 annually)
$400.00
300.00
200.00
100.00
FREE
200.00
200.00
100.00
200.00
10.00
First-Year DC
based on first
year licensed in
Missouri.
I choose not to be a full member at this time, but would like to help the MSCA in it’s fight to defend, preserve
and advance chiropractic for all chiropractors in the state of Missouri by contributing as a donor.
Donor ($10-199)
The tax deductible portion of your 2013 MSCA dues has been calculated to be 71%. The non-deductible percentage is 29% and relates to our lobbying activities.
Method of Payment: Convenient payment plans are available. Dues can be automatically charged to your credit card semiannually or quarterly, or they can be debited from your checking account automatically every month.
*Important: For your convenience, automatic monthly debits and quarterly charges continue annually. You may call to cancel at any time.
**Checking Auto Debit: To start automatic debit from your checking, please call the MSCA office and a debit form will be sent to you.
Please bill $____________ to my
Annual (check or credit card)
Visa
MasterCard
*Semi-Annual (credit card)
Discover
*Quarterly (credit card)
**Checking Account
**Monthly (checking auto debit)
Credit Card Number _______________________________________________________________
Expiration Date __________________
Name as it appears on Credit Card ____________________________________________________
3-Digit V-Code __________________
Signature ______________________________________________________________
Date ____________________________________
Make checks payable to MSCA and mail to: MSCA, 220 E. Dunklin, Jefferson City, MO 65101. Phone: 573-636-2553. Fax: 573-635-1470.
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

          
       
      


        

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
         

        

        
        


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
        
     
      
       



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         
        
       
        

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       

      
        
       
        
     
       
      
      

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      

        
       
      
        

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           


        
       
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    
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    
        

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       
        


       

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        
     
         

          
       

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

      

         
         



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       

      


         

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



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




      
         
       
      


        

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


      
    
      
       
       
      


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
       
       
        
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Missouri State Chiropractors Assn. Political Action Committee (MSCA PAC)
2013-2014 PAC Membership Form
July 1, 2013, through June 30, 2014
Name ______________________________________________________________________________________________
Office Address _______________________________________________________________________________________
City/State/Zip _______________________________________________________________________________________
Office Phone _______________________________________
Fax Number ___________________________________
E-mail Address _____________________________________
Please use
credit card
for payment
plan option.
Select PAC Membership Level
PAC membership is an annual commitment from July 1, 2013, through June 30, 2014.
Quarterly
$ 250.00
Ambassador Membership
Annually
$ 1,000.00
Ambassadors are a prestigious group of chiropractic physicians committed to the advancement of
chiropractic and have gone above and beyond the highest level of support through their generous
contribution. Ambassadors receive special recognition at the PAC Reception during the MSCA
Summer Convention.
Scholar Membership
187.50
750.00
Diplomat Membership
125.00
500.00
Emissary Membership
62.50
250.00
Regular Membership
30.00
120.00
Scholar members are a distinguished group of chiropractic physicians committed to the
advancement of chiropractic. Scholars receive special recognition at the PAC Reception during
the MSCA Summer Convention.
Diplomats are a dedicated group of chiropractic physicians committed to the advancement of
chiropractic. Diplomats are recognized at the PAC Reception during the MSCA Summer
Convention.
Emissary members are a special group of chiropractic physicians who give something extra to
help support the advancement of the chiropractic profession.
Regular members are chiropractic physicians who actively support the advancement of the
chiropractic profession.
After you have paid your annual PAC membership, purchases at any PAC-sponsored event apply toward reaching the next
higher level of membership. Certain individual political contributions may also apply toward reaching the next level of
membership. Doctors are responsible for notifying the MSCA office when additional donations are made. MSCA
membership is not required to become a PAC member.
Method of Payment: Convenient payment plans are available. Dues can be automatically charged to your
credit card semi-annually or quarterly.
*Important: For your convenience, automatic credit card charges continue annually. You may call to cancel at any time.
Please bill $____________ to my
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Annual (check or credit card)
Visa
MasterCard
*Semi-Annual (credit card)
Discover
*Quarterly (credit card)
Credit Card Number ______________________________________________________
Expiration Date _______________________
Name as it appears on card _________________________________________________
3-Digit V-Code _______________________
Signature ________________________________________________________
Date ______________________________________
Make checks payable to MSCA PAC and mail to: MSCA PAC, 220 E. Dunklin, Jefferson City, MO 65101.
Phone: 573-636-2553. Fax: 573-635-1470.
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      
    
     
     
    
     

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


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      
     
    
     
      
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






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        
       

     

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     
  
   
   
      

   
  
   



     
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

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






 

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
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        
      

        
      
         
        

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       

         
        
       
          



         


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
       

        

       



       
        

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
        

         
       


      



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
      

        
        
    
      
    
      
        
        
       
        
      


        
       
      

      
      
        



       
       
        

        
      

         



       

     
       
        
        
        
     
       
      











 




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
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
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
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
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
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 
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
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

   
 

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 

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 

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  
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 

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 
 
 


 


 

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 


 


 


 
 
                          




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12 Hour Sessions

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
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18 Hour Sessions*
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
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 
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
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
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 
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                          





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
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Special Room Rates
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12 Hour Sessions


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
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
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

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


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

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18 Hour Sessions*



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

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



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Checks payable to:

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Check Memo Should Note:

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

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


     

       

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
       
       



       
         
      
     
       



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
       

       
      
        


      

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
        
         
       

        
      
     


     

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      
     
       
      
    

       

        


         

       


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
       
       
        
     
        



         
        
   


          
       


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
        

            
       

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        
       
          
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        
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Purification and
Weight Management Program
Are you overburdened, overweight, or overtired?
The Standard Process purification programs utilize whole food supplements,
pure food, and water to give the body the resources it needs so that it can purify
and rebuild itself naturally. Hippocrates once said, “The natural healing force
within each one of us is the greatest force in getting well.” Ignite the healing
force. The Standard Process purification programs will help you achieve a
higher level of health by cleansing the body from the inside out.
SP Cleanse® - for
purification
SP Complete™ - for
nutritious supplement
shakes
Gastro-Fiber® - for fiber
support
SP Green Food™ - for
phytonutrients
For more information, contact
your Standard Process representative
In eastern Missouri:
Dawne Watters (800) 532-2128
In Western Missouri/Kansas:
Jerry McFarland (816) 769-1043
REFRESH, REPLENISH, REJUVINATE

MSCA Auxiliary
Backbone of the MSCA
Needs Your Support!
Sign Up Your CA, Staff or Spouse Today!
The MSCA Auxiliary actively supports every aspect of your professional association and needs your support to
continue in its effort to provide . . .
Scholarships to Chiropractic Students
Memorial Services at Convention
Servers for Lunch at Legislative Day
Building Repairs for MSCA Headquarters
Family Events at Convention
MSCA Equipment Purchases & Repairs
And Much More!
Membership in the Auxiliary is only $25 for the entire year!
If every doctor in the MSCA would sign up just one staff person, spouse or CA, it would bring in nearly
$20,000 to support the MSCA and its mission.
JOIN TODAY!
Name: __________________________________________________
Please mail checks to:
MSCA Auxiliary
c/o Annette Copeland
411 Hwy 72 E
Rolla, MO 65401
Phone: 573-341-8292
Address: _________________________________________________
City: _______________________________ State: ______ Zip: ____
Phone: ______________________________ Fax: ______________
Email: ___________________________________________________
Enclosed: ________________ ($25 made payable to MSCA Auxiliary)
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A Special MSCA
Congratulations
2013 MSCA Summer Convention
Golf Champions
1st Place A Flight
(L to R) James McCartney,
Dr. James Gray, James Wake,
Dr. Donald Broman
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2nd Place A Flight
(L to R) Gina Robertson,
Dr. Tom Robertson,
Dr. Dennis James,
Nathan Casillo
1st Place B Flight
Dr. Keith Moeckel,
Carolyn Furjes, Dr. Stephen Furjes,
Dr. David Turnbull
2nd Place B Flight
(L to R) Dr. James Scott,
Rick Hemphill,
Dr. Lee Richardson,
Geoffrey Ackley
Longest Drive Winner
Dr. Donald Broman
Closest to the Pin Winner
Dr. David Turnbull
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       
      
       
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        
      
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     
      
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        
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       
     

       
      
      

       
      

     

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    


      
       
     


          
       

       

        

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

       


       
      

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
         



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
        
       


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      
       


     

      
      

     

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
        


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
     
        
      
       

        


     

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

        
        

    
      



     
       
       
         
     
         
      

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
     
     

      

       

      


  



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     


     

     

        
     
      

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
      


      

      
       

     

       
   
      



      
       

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
     

         
       
       
        
       
       
      
       
        
     

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         

       
        

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








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






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



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           

        
       

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          
         

 






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
      
      




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         
       

       

       
       
       


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


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
      

      
       
       


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       

      
     

    
       
    

        
       
     


       
     
      



        
      
       




       
       
       




       
       
      
       
         

       
      
      
     

        
         
       





       
      
       
      


          
        
       

        
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
        

         
       
        

          
        
     


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   
       
       


         

     

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      
       
       
     
    
         
     

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       
       
        
          
      
       
      

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
     
     
       


    

      


     
      

        


      
    
   




      
      
     
         


         

        

     


      
        

      



   
    


        
       


      

        
      
       
       























Pantone 255

Pantone 3015

Two Colour Assembly






51. 91 . 0 . 34
100 . 23 . 0 . 18
CMYK Assembly
®







LOWER BACK PAIN RELIEF
Pantone 255
Pantone 3015
Gray Scale Assembly
E
RE douts
F Han
t
ble
ien
Pat availa

• Designed for patient
in-home use
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


 
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 
 
30 Day conditional
Money back guarantee
LASHAW DISTRIBUTORS LTD.
9631 Bakerview Drive
Richmond, B.C., Canada V7A 2A2
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


• Portable
• Easy to use
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

• Comfortable
Tel: ....................................(604)270-4263
Fax:................................... (604)277-2154
Toll Free: ..........................1-800-667-7795
C.O.D.
Or prepay
By cheque
Website: ........................ www.invertrac.com
E-mail: .................... [email protected]

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 

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

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

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
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
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

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