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 D1000-2 Upper Body Composition Analyzer 400 x 0.2 lb SKU: 151114 Available		$2,335.50	$2,335.50

1	Peg Perego - Viaggio Flex 120 Child Booster Seat Licorice SKU: FLEX120LICO In Stock - Ships within 24 hours		$299.99	$299.99

1	Peg Perego - Viaggio Flex 120 Child Booster Seat Crystal Black SKU: FLEX120CRYS In Stock - Ships within 24 hours		$299.99	$299.99

1	Inglesina - AY90F6NAVUS Fast Table Chair - Navy - Open Box SKU: AY90F6NAVUS Open Box Out of Stock		$84.00	$84.00

1	Seiko KT-401 - Shot Clock SKU: KT401 In Stock - Ships within 24 hours		$1,695.00	$1,695.00

1	Convaid 903570, Grab Bar SKU: 903570 Out of Stock		$151.00	$151.00

1	Peg Perego Primo Viaggio Convertible Kinetic Car Seat - Wonder Grey SKU: CONVKINWONDERGREY Out of Stock		$429.99	$429.99

1	Convaid 903266, Headrest Extension SKU: 903266 Out of Stock		$130.00	$130.00

1	Chicco 08079610160070 Corso Modular Travel System - Silverspring SKU: 08079610160070 Out of Stock		$549.99	$549.99

		Ground, UPS	$17.80	$17.80


			Total	$5,993.26