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Coding Basics Book Order Form Email Address:

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<strong>Coding</strong> <strong>Basics</strong><br />

<strong>Book</strong> <strong>Order</strong> <strong>Form</strong><br />

Shipping address (please type or print clearly)<br />

_________________________________________________<br />

Name<br />

_________________________________________________<br />

Title<br />

Organization<br />

_________________________________________________<br />

Street <strong>Address</strong> (no PO boxes)<br />

_________________________________________________<br />

City State Zip Code<br />

_________________________________________________<br />

Phone<br />

Fax<br />

<strong>Email</strong> <strong>Address</strong>: ____________________________<br />

AHIMA Member No Yes Member ID #: ________<br />

SHIP TO: Home Work<br />

Four easy ways to order<br />

ONLINE: ahimastore.org (credit card orders)<br />

MAIL: Send this form with check, PO, or<br />

credit card information to:<br />

AHIMA<br />

Dept. 77-97105<br />

Chicago, IL 60678-7105<br />

FAX: 312-233-1500 (credit card orders)<br />

PHONE: 800-335-5535 (credit card orders)<br />

PRODUCT<br />

NUMBER<br />

REQUIRED AND OPTIONAL BOOKS from AHIMA<br />

HOW<br />

MANY<br />

REGULAR<br />

PRICE<br />

MEMBER<br />

PRICE<br />

TOTAL<br />

AMOUNT<br />

AB103409 Introduction to Computer Systems for HIT $69.95 $54.95<br />

AC200512 Basic ICD-10-CM/PCS <strong>Coding</strong>, 2013 edition $99.95 $79.95<br />

AC221013 ICD-10-CM Code <strong>Book</strong>, 2014 Draft $110.00 $89.95<br />

AC200613 Basic Current Procedural Terminology/HCPCS <strong>Coding</strong> $79.95 $64.95<br />

AC210610 Basic CPT/HCPCS <strong>Coding</strong> Exercises $39.95 $34.95<br />

AC201514 Clinical <strong>Coding</strong> Workout, 2013 Edition, with answer key $99.95 $79.95<br />

AB202010 Principles of Healthcare Reimbursement, Third Edition $89.95 $74.95<br />

AB105211<br />

OPTIONAL: Pocket Glossary of HIM and Technology, Third<br />

Edition<br />

$24.95 $19.95<br />

PRODUCT<br />

NUMBER<br />

REQUIRED AND OPTIONAL BOOKS from Other Publishers<br />

HOW<br />

MANY<br />

PRICE<br />

TOTAL<br />

AMOUNT<br />

VC205113 CPT 2013 Standard Edition, softbound $84.95<br />

CB502112 Mastering Healthcare Terminology, 4th ed. $71.95<br />

CB511210 Understanding Health Insurance $146.95<br />

CB601010 Pathophysiology for the Health Professions, 4e $85.95<br />

CB602011 Introduction to Pharmacology, 12 th edition $54.95<br />

CB511311 OPTIONAL: Dorland’s Illus. Medical Dictionary, 32 nd Ed. $52.95<br />

CB504211 OPTIONAL: Merck Manual, 19 th edition $79.95<br />

PAYMENT MUST ACCOMPANY EVERY ORDER<br />

Check enclosed Money order enclosed P.O. Enclosed<br />

Charge: Visa MasterCard AmEx P.O.# ________________<br />

______________________________________________ ________________<br />

Credit Card Number<br />

Exp. Date<br />

Subtotal<br />

Sales tax (IL residents add 8.75%,<br />

MI residents add 6.00%)<br />

Shipping and Handling (see chart<br />

on next page for current rates)<br />

SPECIAL shipping (call for quote)<br />

____________________________ __________________________________<br />

Print Name as It Appears on Card<br />

Signature<br />

TOTAL<br />

Prices and availability subject to change without notice. <strong>Coding</strong> <strong>Basics</strong> Textbook <strong>Order</strong> <strong>Form</strong> 1/13/2014


SHIPPING AND HANDLING CHARGES<br />

<strong>Order</strong> Amount<br />

48 contiguous US<br />

states<br />

Standard Shipping<br />

and Handling<br />

HI, AK, Canada, PR add $20<br />

to standard shipping<br />

International<br />

Shipping add $45 to<br />

standard shipping<br />

$49.99 or less $ 6.95 $ 26.95 $ 51.95<br />

$50.00-$74.99 $ 8.95 $ 28.95 $ 53.95<br />

$75.00-$99.99 $ 9.95 $ 29.95 $ 54.95<br />

$100.00-$149.99 $ 12.95 $ 32.95 $ 57.95<br />

$150.00-$199.99 $ 14.95 $ 34.95 $ 59.95<br />

$200.00--249.99 $ 20.00 $ 40.00 $ 65.00<br />

$250.00 +<br />

7% of order<br />

subtotal<br />

$20.00 plus 7% of order<br />

subtotal<br />

$45.00 plus 7% of<br />

order subtotal<br />

Prices and availability subject to change without notice. <strong>Coding</strong> <strong>Basics</strong> Textbook <strong>Order</strong> <strong>Form</strong> 1/13/2014

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