Medical Association of GEORGIA

NEW ORDER PAGE

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Enter your contact information above to receive correspondence from Rx Security with respect to any present and future billing and ordering. Your contact information will not be shared with anyone else or used for any other purpose.

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* Please Note that though the design shown may not be an exact representation , it's purpose is to give you as accurate an impression as is possible using the data you entered above. Be assured that the pad will be compliant with all regulations applicable to the state (or province) that it is printed for. If you wish to receive a more accurate representation before it is printed, please request a Design Proof to be forwarded to you by specifying such in the Additional Comments section above.