Literature Request Form 1-2013 - Phonak
Literature Request Form 1-2013 - Phonak
Literature Request Form 1-2013 - Phonak
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<strong>Literature</strong> <strong>Request</strong><br />
Rush DHL FedEX MAIL UPS<br />
Acct: State: Attn:<br />
Price & Policy Guides<br />
Quantity<br />
Fall '12 Price & Policy Guide [027-1034] Summer '12 FM Educational Pricing [027-1011-03]<br />
Order <strong>Form</strong>s/ Office Supplies<br />
Quantity<br />
Quest/Spice+ Custom Order <strong>Form</strong> [027-0099-03] Impression Boxes [017-1003]<br />
Quest Custom EarPieces Order <strong>Form</strong> [027-0100-03] ITE/BTE Repair <strong>Form</strong> [025-1058]<br />
Spice+ Custom EarPieces Order <strong>Form</strong> [027-0529-03] Return for Credit / L&D <strong>Form</strong> [025-1063]<br />
<strong>Phonak</strong> FedEx Shipping Labels [017-0011] CORE Custom Order <strong>Form</strong> [025-0813]<br />
HI <strong>Literature</strong> for Consumers<br />
Quantity<br />
<strong>Phonak</strong> Bolero Q Pamphlet [028-0718-03] Audeo S IX Trifold [028-0941-02}<br />
<strong>Phonak</strong> Virto Q Pamphlet [028-0719-03] Audeo S V Trifold [028-0940-02]<br />
<strong>Phonak</strong> AccessLine Trifold [028-0723-03] Audeo S III Trifold [028-0583-02]<br />
<strong>Phonak</strong> Image Brochure [028-0777-03] Audeo YES Trifold [028-0395-02]<br />
<strong>Phonak</strong> nano Trifold [028-1196-02] Exelia Art Trifold [028-0443-02]<br />
<strong>Phonak</strong> CROS Trifold [028-0633-02] Versata Art Trifold [028-1105-03]<br />
<strong>Phonak</strong> Dalia Trifold [028-0259-03] Certena Art Trifold [028-1104-03]<br />
Audeo S SMART I Trifold [028-1200-03] SoundRecover Trifold [028-0619-02]<br />
Naida S I Trifold [028-0258-03] Discover Your Hearing [028-0433-03]<br />
Ambra/Solana/Cassia M H2O Trifold [028-1199-02] Revive Your Hearing [028-0432-03]<br />
Naida S CRT Trifold [028-1197-02] Lifestyle Full Line Trifold [028-0463-03]<br />
Nios S H2O Trifold [028-1130-02] Nios micro Trifold [028-0473-02]<br />
Naida S IX Trifold [028-0642-03] Milo Plus Trifold [028-0486-02]<br />
Naida S V Trifold [028-0641-03] Naida Adult Trifold [028-0359-02]<br />
Naida S III Trifold [028-0640-03] Naida Junior Trifold [028-0436-02]<br />
Naida S Pediatric Trifold [028-1151-02] Naida Power Hearing Jr. Trifold [028-0360-02]<br />
<strong>Phonak</strong> Ambra Trifold [028-0537-02] Hearing Aid Care & Maintenance Guide [028-1090-03]<br />
<strong>Phonak</strong> Solana Trifold [028-0634-02] Cleansing & Care Line Trifold [028-0618-03]<br />
<strong>Phonak</strong> Cassia Trifold [028-0632-02]<br />
HI <strong>Literature</strong> for Professionals<br />
Quantity<br />
Quest Professional Brochure [028-0728-03] Essential Professional Brochure (Grow) [028-0262-03]<br />
Quest Overview - Accordion [028-0729-03] Essential Professional Brochure (Try) [028-0570-03]<br />
Quest Portfolio and Color Guide [028-0811-03] Spice+ Summary Sheet w/ Essential [028-1265-03]<br />
Quest Summary Guide [028-0812-03] Spice+ Summary Sheet [028-1127-03]<br />
<strong>Phonak</strong> Bolero Q Product Information [027-0079-03] Spice+ Professional Brochure [028-1201-02]<br />
<strong>Phonak</strong> Virto Q Product Information [027-0088-03] RIC Acoustic Coupling Guide [028-0555-03]<br />
<strong>Phonak</strong> AccessLine Product Information [027-0038-03] Target 2.0 Desktop Fitting Guide [028-1715-03]<br />
<strong>Phonak</strong> Tablemat [028-1052] Naida S Professional Brochure [028-1147-02]<br />
Fall '12 Style & Selection Guide - Pack of 25 [039-1225-03] <strong>Phonak</strong> CROS Desktop Fitting Guide [028-1142-03]<br />
<strong>Phonak</strong> Quest Notebook [039-0243] Custom Professional Brochure [028-0636-02]<br />
Summer '12 Spice+ Professional Brochure [028-0265-03] Milo Plus Desktop Fitting Guide [028-1079-03]<br />
<strong>Phonak</strong> CROS Professional Brochure [028-0263-02] SoundRecover Brochure [028-1107-03]<br />
Spice+ Collection [028-1137-03] eServices Brochure [028-0626-03]<br />
Ingress Protection Rating Chart [027-1167-03]<br />
Point of Purchase Material<br />
Quantity<br />
Quest Zoom Flip Chart [041-1304-03] Iron Man Poster [041-1322-03]<br />
Bolero Q-M312 Non-Working Demo [040-0003] Fall '12 Interactive Style & Selection Guide DVD [041-1204]<br />
Bolero Q Color Swatch [041-1323] Spice+ Zoom Flipchart [028-1173-03]<br />
Anatomy of the Ear Poster [041-1309-03]* <strong>Phonak</strong> Zoom In-Office DVD [041-1197-03]<br />
auto StereoZoom Poster [041-1313-03]* eServices Mouse Pad [039-0695-03]<br />
1
Speech in Wind Poster [041-1314-03]* nano Trifold Dispenser [041-1194-02]<br />
WaterResistant Bolero Q-M13 Poster [041-1317-03]* SoundRecover In-Office Video [041-0966-03]<br />
* Limit 2 per clinic<br />
Lyric Material<br />
Quantity<br />
Mailer Lyric Stuffer [028-1242-03] Article reprint Lyric - NY Times [028-1210-03]<br />
Patient Counseling Video [041-1217-03] Article reprint Lyric - Hearing Review [028-1214-03]<br />
Hearing Stories [041-1218-03] POS Dispenser Lyric NY Times Article [041-1212]<br />
Lyric CAN Professional Brochure [028-0532-03] <strong>Form</strong> Lyric Patient Candidacy (pad) [025-1091-03]<br />
Lyric CAN Consumer Brochure [028-0531-03] Questionnaire Lyric Lifestyle (pad) [025-1092-03]<br />
Lyric Can Consumer Brochure Holder [041-1042] <strong>Form</strong> Lyric Used Device Returns [025-1097-03]<br />
Poster Lyric Technology [041-1221-03] Sheet Lyric FAQs [027-1092-03]<br />
FM/Pediatric <strong>Literature</strong> & Information for Professionals<br />
Quantity<br />
SR and DFM - Exploring the Benefits for young children [028-1720-03] iSense Mother Brochure [028-0385-02]<br />
Dynamic SoundField - A new era in classroom amplification [028-1718-03] Hearing Benefit Self-Assessment Scale [027-0073]<br />
SR and DFM - Better hearing for child development [028-1719-03] FM Testimonial DVD [041-0470]<br />
SR and DFM - Troubleshooting Guide [028-1721-03] Dynamic SoundField [028-0862-03]<br />
Dynamic FM - Hear Better at Work [028-1722-03] Dynamic SoundField Install Guide [028-0722]<br />
Pediatric Spice+ Professional Brochure [028-1195-02] Dynamic FM - Schools [028-0615-02]<br />
Target 2.0 Junior Fitting Guide [028-1256-03] Dynamic FM - Teens/Adults [028-0397-03]<br />
FM Collection 2011/2012 [028-1168-03] Adult Conference Proceedings 2009 [028-0621-02]<br />
Step-by-Step FM Workbook [028-0497-02] Proceedings Book From Access 2008 [028-0750-02]<br />
MyLink+ Professional Brochure [028-1060-02] Naida S Pediatric Professional Brochure [028-1148-02]<br />
LISN-S Brochure [028-0616-02]<br />
FM/Pediatric <strong>Literature</strong> for Consumers<br />
Quantity<br />
Nios S H2O Trifold [028-1130-02] Pediatric Wireless Solutions: A Situational Guide [028-0524-03]<br />
Naida S Pediatric Trifold [028-1151-02] Dynamic SoundField Getting Started [028-0758]<br />
MyLink+Trifold [028-1074-02] Dynamic SoundField Benefits [028-0920]<br />
Dynamic FM for teenagers Trifold [028-0399-02] Dynamic Leaflet [028-0472-02]<br />
Dynamic FM for adults Trifold [028-0442-02] FM Parent Guide [028-0304-02]<br />
Hearing Better with FM Technology: A Situational Guide* [028-0514] Caring for Your Child's Hearing Instruments [028-0273-02]<br />
inspiro Guide for Teachers and Parents [028-0257-02] "My Child" Parent Guide [028-0289-02]<br />
iSense Consumer - Child [028-0384-02] Oliver gets a Hearing Aid [028-0284-02]<br />
iSense Consumer - Adult [028-0383-02] Oliver gets FM [028-0288-02]<br />
Spanish <strong>Literature</strong> <strong>Request</strong><br />
HI <strong>Literature</strong> for Consumers<br />
Quantity<br />
Ambra/Solana/Cassia M H2O Trifold [028-1199-06] Naida S Trifold [028-1167-03]<br />
Naida S CRT Trifold [028-1197-06] Discover Your Hearing [028-0233-06]<br />
<strong>Phonak</strong> nano Trifold [028-1196-06] Revive Your Hearing [028-0234-06]<br />
Nios S H2O Trifold [028-1130-06] Audeo SMART Trifold [028-0480-06]<br />
Accessories Trifold [028-1198-06] Audio MINI Trifold [028-0478-06]<br />
<strong>Phonak</strong> Ambra Trifold [028-0537-06] Certéna Art Trifold [028-0390-06]<br />
<strong>Phonak</strong> Solana Trifold [028-0634-06] Naida IX Trifold [028-0444-06]<br />
<strong>Phonak</strong> Cassia Trifold [028-0632-06] Nios Micro Trifold [028-0473-06]<br />
Audeo S Trifold [028-0941-06] Milo Plus Trifold [028-0486-06]<br />
FM Pediatric <strong>Literature</strong> for Consumers<br />
Quantity<br />
"My Child" Parent Guide [028-0289-06] Oliver gets a Hearing Aid [028-0284-06]<br />
12/1/12<br />
2
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