PACS OPPORTUNITIES: 2000-2010

SUBSCRIPTION AGREEMENT

I would like to subscribe to the Concord Consulting Group’s multiclient study, PACS Opportunities — 2000-2010, and receive the report published in September 2001.

 I have chosen the following option(s):

q

Report on Current PACS Study …………………………

(as of 3/01/02)      $  5,900

q

________  additional copies of the report …………………

(each)  $     400

 q

I wish to receive CCG’s prior report, PACS Opportunities: 1997-2007, published in November 1997

 $ 1,995

Payment Options:                       

q  Enclosed is a check for $______________ payable to Concord Consulting Group, Inc.    

q  Enclosed is Purchase Order # _________________ for $______________.

q Please invoice my company for $______________

Report will be shipped upon receipt of check or purchase order.

 

Name                                                                                                  Title

 

Company                                                                                             Division

 

Address

 

City                                                     State/Province                                  Country

 

Zip/Mail Code             Telephone                              Fax                                          E-mail

 

Signature                              

 

 

Send to:      Concord Consulting Group Inc.            Tel:          978-369-8744

                       30 Monument Square                               Fax         978-369-7823

                       Concord, MA 01742                                  e-mail:    corp@concordcg.com