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	Britax S864700 - Kick Mat SKU: S864700 In Stock - Ships within 24 hours		$22.99	$22.99

1	Child's Rectangular Table with shelves & Two Chairs 534C - Cherry SKU: 534C Available - Will Ship Within 1 - 2 Weeks		$220.00	$220.00

1	Diaper Dude 103S RED SKULL & CROSSBONES SKU: 103S In Stock - Ships within 24 hours		$65.00	$65.00

1	HealthOMeter 600KL Digital Eye Level Height Rod and Auto BMI EMR/EHR Compliance, 600 x 0.2 lb SKU: 600KL In Stock - Ships within 24 hours		$952.00	$952.00

1	Thule 3204542 Sapling Rain Cover SKU: 3204542 In Stock - Ships within 24 hours		$39.95	$39.95

		Ground, UPS	$87.30	$87.30


			Total	$1,387.24