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	Health-O-Meter 499KLHR Waist Level Physician Scale with Height Rod and AC-Adapter 500 x 0.2 lb SKU: 499KLHRAD In Stock - Ships within 24 hours		$477.00	$477.00

1	Lipper Square Table & 2 Chairs Set 514E - Espresso SKU: 514E Available - Will Ship Within 1 - 2 Weeks		$170.00	$170.00

1	CardioCheck 3063 PTS Connect USB Dock SKU: 3063 In Stock - Ships within 24 hours		$261.25	$261.25

1	Health O Meter 1100KL Digital Handrail Scale, 1000 x 0.2 lb SKU: 1100KL In Stock - Ships within 24 hours		$1,601.00	$1,601.00

		Ground, UPS	$50.80	$50.80


			Total	$2,560.05