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Holladay IOL Consultant (HIC) And Surgical Outcomes
Assessment Program (SOAP) Now Available!


To order the latest version of the Holladay IOL Consultant and the Surgical Outcomes Assessment Program software, simply complete this form, print it out and mail it along with your check to:


Holladay Consulting, Inc.
P.O.BOX 717
Bellaire, TX 77402-0717
Fax 713-669-9153

Please make your check payable to:
Holladay Consulting, Inc.
Allow 2 to 4 weeks for delivery.

Please complete the information below for updates and bulletins:.
This is not an electronic submittal form - it is for printing purposes only!
Please fill out the information exactly as you wish your correspondence to be addressed.


Title:
First Name:
Last Name:
Company:
Address:
City:
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Zip:
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Operating System:
Windows: 95 98 2000 ME NT XP 2003 Vista

Please select your order:
HIC $995.00 SOAP $295.00 BOTH $1290.00
$1895.00 New User - HIC.SOAP.PRO Professional Edition
$900.00 Exisiting HIC User - HIC.SOAP.PRO Professional Edition
$600.00 Exisiting HIC & SOAP User - HIC.SOAP.PRO Professional Edition

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Simply complete this form, print it out and mail it with your check to Holladay Consulting, Inc.
Thank you for your order!