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	Convaid EZ18 900351-903463 EZ Rider 10 Degree Fixed Tilt Special Needs Stroller - Ocean Blue SKU: 900351-903463 Out of Stock		$1,535.40	$1,535.40

1	Health O Meter Counterweights for of balance beam scale models SKU: 55070 In Stock - Ships within 24 hours		$64.00	$64.00

1	Monark LC7TT NOVO Electronically Controlled Testing Ergometer - Time Trial Ergometer Cycle SKU: LC7TT NOVO In Stock - Ships within 24 hours		$23,999.00	$23,999.00

1	Adaptive Star AHAB Hip Abductor - Single SKU: AHAB In Stock - Ships within 24 hours		$194.99	$194.99

		Ground, UPS	$0.00	$0.00


			Total	$25,793.39