Your comments

I'm happy to help, Yes, the popup can be disabled. Turning off javascript will disable the popup window, but will also turn off javascript for all PDFs open in Reader, this will also turn off "Auto Calculate". If an update is released disabling the popup agreement with each launch we will send you that update. 

instructions to disable JavaScript:
  1. Launch Acrobat or Adobe Reader.
  2. Select Edit>Preferences
  3. Select the JavaScript Category
  4. Uncheck the ‘Enable Acrobat JavaScript’ option
  5. Click OK
 A4 is  210 x 297 mm 8.3 x 11.7 in. Try to print using the standard "Letter". If you are still experiencing issues printing please send a scanned copy of the printed document showing the error to
Boxes 31 and 33 allow for 3 lines of data.

1st Line – Name
2nd Line – Address
3rd Line – City, State and ZIP Code

Item 33 identifies the provider that is requesting to be paid for the services rendered and should always
be completed. Do not use punctuation (i.e., commas, periods) or other symbols in the address (e.g., 123 N Main Street
101 instead of 123 N. Main Street, #101). Enter a space between town name and state code; do not
include a comma. Report a 9-digit ZIP code. Enter the data that will fit.
Enter the data that will fit. CMS 1500 must use strict fonts and font size must be between 10 and 12, anything that does not fit please leave off.

Please email for more information. 
We received your email and have shipped your product USPS. Your order was for our CD version of the template. If you would like a direct download link we can provide this. I apologize for any confusion.

Thank you for choosing
Hi Nesha, 

 I'm happy to help, email address is, Confirmation emails are send immediately after payment is made. Please provide your email address and we will make sure you receive a link for your purchase.

Thank you for choosing 
Hi Cindy,  An "+" will appear if letters/numbers are entered in the form field beyond what the field can hold. Make sure you do not have spaces in the box, or users may have more then what is allowable in the field. 
I'm happy to help, Will you send a scanned image of the printed template, this will give us the information needed to adjust the template for your print settings.

Please send scanned image to

thanks -Matt
Select print and view the print preview does it look like the image below?Notice the white page preview (not the red background) in the PRINT dialog box.