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	Edushape HL100-16 Mini Rainboshaker SKU: HL100-16 In Stock - Ships within 24 hours		$67.50	$67.50

1	Hi Bebe BT-200T Fetal Monitor with Free Tube of Ultrasound Lotion 3MHz SKU: 200TWLOTION In Stock - Ships within 24 hours		$119.95	$119.95

		Ground, UPS	$17.80	$17.80


			Total	$205.25