Pritchett & Hull Assoc., Inc. offers professionals interested in its web-based
print-on-demand system, ‘scripts, the opportunity to demo the system for a limited period of time.

To apply for a demo to ‘scripts from Pritchett & Hull, please answer all questions on the form below. A user name and password will be emailed to you within 24hrs.

Demo Request Form

*= required field

 

Institution Name* 

Address 1*           

Address 2           

Suite #/ Dept     

City*     State*     Zip* 

Phone*     Fax     email* 

*

Best way to contact this Person

Type of Institution*

if other 

if other: criteria for measuring education needs

Size of Institution:

Staff size 

Number of Beds 

Number of out-patient visits per month 

Is the institution a specialty site? 

if yes, what are the area(s) of Specialty?

COPYRIGHTS AND LIMITATIONS ON USE OF DEMO
    

Do you agree to abide by the above copyright restrictions and limitations
on use while using the Demo Module of ‘SCRIPTS from Pritchett & Hull?*

Completed By*

Title               

In lieu of a signature, we require a unique identifier used only for 'scripts demo subscription verification purposes.
Please enter your initials*


* Be sure to verify that your contact information is correct before submitting your application.

* Pritchett & Hull Assoc., Inc. determines qualifications and reserves the right to limit the number of demo users.