Made to Measure Computer Systems
Industry Leading Medical Accounts Software
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Medical Accounts System
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Order Form

If you prefer, you can download a printable version of the order form here.

Right-click the button below and click "Save target as..." or "Save link as...". Choose a destination and click "Save".

 

SECURE Online Order Form

Please fill in ALL the information very carefully. Some of the information on this form will appear on the letterheads of all statements printed by the Made To Measure Medical Accounting Software.
 
Name (Full):
Address:
   
Alternate Address:
Telephone:
Code:
Cell:
   
Fax:
E-Mail Address:
Please complete the following particulars carefully - this information will appear as the letterhead for your statements. Bilingual users should please supply English and Afrikaans qualifications. Please take note that the program is Registered to a Practice Number and is not transferable. The price of the program includes 3 months free support, there after normal rates apply.
Name:
  
Qualifications:
 
PR Number:
VAT Number:
Please indicate your computer specifications:
   
Windows version:
 
Printer:
Brand:
   
Model:
 
Printer:
Brand:
   
Model:
 
Will this program be running on a pc with any existing MTM Software?
Program:
   
Therapists Name of existing MTM software:
 
Billing Details:

Note: To place a correct order for an item, the checkbox next to the item's name MUST be checked (have a "tick" in it). When ordering the Medical Accounting System, remember to select the required package (Kudu, Rhino, Oribi or Loerie). Items with totals filled in will be ignored unless the appropriate checkbox is checked.
Unit
Order?
Details
Price
Total
Made to Measure Accounts - Professional
 
R4200.00
 
Kudu (Physios and Biokineticists)    
 
Rhino (OTs, Speech Therapists and Dieticians)    
 
Oribi (Doctors, Dentists and Specialists)    
 
Loerie (Psychologists)    
Additional Modules
   

Multi-Therapist

 
R470.00

Network
 
R470.00

EDI
 
R470.00

NAPPI Codes
 
R470.00

Surgery / Anaesthetics
 
R470.00

Dentistry
 
R470.00

Document Manager

 
R570.00
Dot-matrix/Continuous Statement Paper
Qty: box(es)
R380.00
    (1 box = 2000 pages)
(Per box)
  
   
Grand Total:

Please wait for the confirmation screen to appear to ensure your order has been sent. We will be in contact with you within 48hours. If you have not heard from us please contact us at 044 850 1123 or info@madetomeasure.co.za

 

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