HealthCheckSystems

Billing Address
(As shown on your credit card statement.)
First name * Last name * Company Name Address * Address2 City State\Province: * Zip/Postal Code * Country * Day Phone * Cell Phone Fax Email *
Shipping Address
First name * Last name * Company Name Address * Address2 City * State\Province * Zip/Postal Code * Country * Day Phone * Cell Phone Fax
Payment Info
Name on card * Credit Card number * CVV *

Month *(12) Year*(2025)

Visa MasterCard Amex Discover

Quantity	Name		Price EA	Total

1	Rice Lake RL-330HHL Mechanical Bathroom Scales 330 x 1 lb SKU: 110592 In Stock - Ships within 24 hours		$56.10	$56.10

1	A1CNow® glycated hemoglobin - HbA1c, - hemoglobin A1C Multi-test system 4 tests SKU: 3070 Out of Stock		$70.95	$70.95

		Ground, UPS	$31.00	$31.00


			Total	$158.05