Dragon Medical One Subscription Questions

Is the subscription for a solo practitioner or as part of an organization with a DMO account administrator? (required) Is the subscription for a solo practitioner or as part of an organization with a DMO account administrator? (required) Solo practitioner Practitioner as part of a group

Name of Company or Organization (required)

Account administrator's (for payment) full name

Account administrator's email address

Account administrator's phone number

Address (required)

1. DMO user's full name

1. DMO user's email address; to be used for their login ID (required)

Would you like to add a 2nd user at this time? Would you like to add a 2nd user at this time? Yes No

2. DMO user's full name

2. DMO user's email address; to be used for their login ID (required)

Would you like to add a 3rd user at this time? Would you like to add a 3rd user at this time? Yes No

3. DMO user's full name

3. DMO user's email address; to be used for their login ID (required)

Would you like to add more than 4 users at this time? Would you like to add more than 4 users at this time? Yes No

Please provide additional details here (full name and email address for each user).

Do you wish a 1, 2, or 3 year term? (required) Do you wish a 1, 2, or 3 year term? (required) 1 Year ($109 per month or $1,308 per term) 2 Year ($99 per month or $2,376 per term) 3 Year ($89 per month or $3,204 per term)

Do you wish to pay monthly or pre-pay for the entire term? (required) Do you wish to pay monthly or pre-pay for the entire term? (required) Monthly Pre-pay for entire term

Who will install DMO? Who will install DMO? Speakeasy Solutions I (client) will install (contacting Speakeasy Solutions if needed) Undecided

Please describe microphone availability (check all that apply) Please describe microphone availability (check all that apply) I have a microphone I will use my Smartphone as a microphone I need a microphone I am not sure (Speakeasy Solutions will contact you to discuss options)

Additional Notations for Speakeasy Solutions

Have you read the DMO requirements or passed these on to your IT support? Have you read the DMO requirements or passed these on to your IT support? Yes Hardware & Internet Requirements for Dragon Medical One No

If known, what microphone(s) do you have?