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	Ultrak 495-Y 100 Lap Memory Stopwatch (With 3 Line Display) - Yellow SKU: 495-Y In Stock - Ships within 24 hours		$42.95	$42.95

1	Detecto SOLACE Series ID-4836S-855RMP 4 x 3 ft In-Floor Dialysis Scale 1000 x 0.2 lb SKU: ID-4836S-855RMP In Stock - Ships within 24 hours		$6,386.16	$6,386.16

1	LW Measurements Tree LWC-P-800 Portable Wheelchair Scale 800 x 0.2 lb SKU: LWC-P-800 In Stock - Ships within 24 hours		$1,245.95	$1,245.95

		Truck Shipping	$351.10	$351.10


			Total	$8,026.16