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When does your current contract expire?	0-3 months 3-6 months 6-12 months More than 12 months No current contract
Describe your total volume of transcription/dictation	Less than 1,000 reports per year 1,000 - 5,000 reports per year 5,000 - 25,000 reports per year 25,000 - 50,000 reports per year 50,000 - 100,000 reports per year 100,000 - 250,000 reports per year 250,000 - 500,000 reports per year Over 500,000 reports per year
Billing Method	Per Line ( 65 Character with space ) Per Page