Smartsoft (Australia) Pty Ltd

Order Form:
Front Desk Practice Management System^®

This page enables you to create a customisable Purchase Order for the Front Desk^® 2008 system.

Simply follow the instructions below:
  Fill in your details and requirements on the form below.
  Click the "Create an Order Form" button at the bottom of the
screen.
  Print out the created Purchase Order, check the details and sign at
the bottom.
  Fax the completed Purchase Order to Smartsoft.
  We will contact you to confirm this order.

Please note: For your security, no details will be sent to Smartsoft until you fax the printed form.

Your Information

Clinic Name:	*
Purchaser's Name:	*
Address:	*
Phone:	*
Fax:
Email:

Purchase Information

Qty *	Description	Price
	Front Desk^® 2008 - Single Software License Includes: 3 x 1 hour telephone training sessions 6 months Front Desk^® Care Plan (including support and upgrades) Assistance with Installation Printed Manual	$3,295
	Additional Network Workstation License(s)	$575

Data Transfer (optional)
	Basic Data Transfer Patient Names, Address, Phone Numbers, Date of Birth and File Numbers (excludes Transactions & Appointments)	$240
	Basic Data Transfer + Appointments Patient Names, Address, Phone Numbers, Date of Birth, File Numbers + Appointments	$690
	Basic Data Transfer + Transactions + Appointments Patient Names, Address, Phone Numbers, Date of Birth, File Numbers + Account Transactions + Appointments + Item Codes	$1490

All pricing is in Australian Dollars, and includes GST.