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Book the upgrade

In order to deliver your converted database back to you with the minimum of disruption we ask that you book a date before sending your database. Once we receive you requested date will will either confirm this or arrange another mutually convenient time.

Please enter your practice details as you wish them to appear on forms and letters produced by INRstar.

Practice name:

Practice address:

Postcode:

Phone:

Fax:

Contact name:

Contact phone (if different):

Email address:

Please enter the days you are normally available:

	am	pm
Mon
Tue
Wed
Thu
Fri
Sat

Request conversion during week beginning Monday:

Insert date

Days INRstar is used:

Mon
Tue
Wed
Thu
Fri
Sat

Will return database via:

Email:

Registered post:

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