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	Peg Perego IGOD0093 John Deere Gator XUV - Midnight Black SKU: IGOD0093 In Stock - Ships within 24 hours		$689.00	$689.00

1	Peg Perego IGOD0063 John Deere Gator XUV SKU: IGOD0063 In Stock - Ships within 24 hours		$639.00	$639.00

1	Diaper Dude 102P CAMOUFLAGE PEACE BAG SKU: 102P In Stock - Ships within 24 hours		$65.00	$65.00

1	Peg Perego Siesta High Chair with Splat Matt - Arancia SKU: SIESTAARANI In Stock - Ships within 24 hours		$329.99	$329.99

1	Convaid CX12 902845-903852 Cruiser Cordura 30 Degree Fixed Tilt Wheelchair - Deep Burgundy SKU: 902845-903852 Out of Stock		$1,876.00	$1,876.00

1	Columbia Medical 2015R Swing Away Abductor for use with Model #2000 - Rose SKU: 2015R In Stock - Ships within 24 hours		$386.00	$386.00

1	Health O Meter 402KLWHCW Mechanical Beam Physicians Scale Fixed Poise Bar, Height Rod, Wheels and Counterweights - 490 x 1/4 lb SKU: 402KLWHCW In Stock - Ships within 24 hours		$307.00	$307.00

		Ground, UPS	$64.00	$64.00


			Total	$4,355.99