Order Form Specific Merge Fields
Invoice date
Order date
Order deposit
HA sale payment(s) total
HA order Insurer coverage (total)
Patient payable on order
HA sale balance due
Order total
Order subtotal (total – taxes)
Order total w/o discount/tax
Tax total
Other services, batteries, accessories sold
Discount total
Discount type list
Discount type (single value)
HA sale Invoice number
HA dispenser on order
Order ship to location
Order bill to location
Left HA manufacturer
Left HA manufacturer address
Left HA model
Left HA style
Left HA serial number
Left HA price
Left HA purchase date
Left HA discount amount
Left HA subtotal
Left delivery date
‘L’ for left side
Left HA battery size
Left HA Warranty exp. date
Left HA L&D Warranty exp. date
Left HA color
Left HA notes
Left HA service plan name
Left HA service plan expiration date
Left HA option(s)
Left HA option(s) price
Right HA manufacturer
Right HA manufacturer address
Right HA model
Right HA style
Right HA serial number
Right HA price
Right HA purchase date
Right HA discount amount
Right HA subtotal
Right HA delivery date
‘R’ for right side
Right HA battery size
Right HA Warranty Exp. date
Right HA L&D Warranty exp. date
Right HA color
Right HA notes
Right HA service plan name
Right HA service plan expiration date
Right HA option(s)
Right HA options(s) price
Other HA manufacturer
Other HA manufacturer address
Other HA model
Other HA style
Other HA serial number
Other HA price
Other HA purchase date
Other HA discount amount
Other HA subtotal
Other HA delivery date
‘O’ for other side
Other HA battery size
Other HA Warranty Exp. date
Other HA L&D Warranty exp. date
Other HA color
Other HA notes
Other HA service plan name
Other HA service plan expiration date
Other HA option(s)
Other HA price
Aid warranty length
Left Orderable item Manufacturer
Left Orderable item Manufacturer address
Left Orderable Item model
Left Orderable Item style
Left orderable Item serial number
Left orderable item price
Left Orderable item purchase date
Left orderable item discount amount
Left orderable item subtotal
Left orderable item delivery date
“L” for left orderable item side
Left orderable item battery size
Left orderable item Warranty exp. Date
Left orderable item L&D Warranty exp. Date
Left orderable item color
Left orderable item Notes
Left orderable item service plan name
Left orderable item service plan expiration date
Right Orderable item Manufacturer
Right Orderable item Manufacturer address
Right Orderable Item model
Right Orderable Item style
Right orderable Item serial number
Right orderable item price
Right Orderable item purchase date
Right orderable item discount amount
Right orderable item subtotal
Right orderable item delivery date
“R” for right orderable item side
Right orderable item battery size
Right orderable item Warranty exp. Date
Right orderable item L&D Warranty exp. Date
Right orderable item color
Right orderable item Notes
Right orderable item service plan name
Right orderable item service plan expiration date
Other Orderable item Manufacturer
Other Orderable item Manufacturer address
Other Orderable Item model
Other Orderable Item style
Other orderable Item serial number
Other orderable item price
Other Orderable item purchase date
Other orderable item discount amount
Other orderable item subtotal
Other orderable item delivery date
“O” for left orderable item side
Other orderable item battery size
Other orderable item Warranty exp. Date
Other orderable item L&D Warranty exp. Date
Other orderable item color
Other orderable item Notes
Other orderable item service plan name
Other orderable item service plan expiration date