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	LifeSource 11-002 Exhaust Valve for UA-100 & UA-200 Aneroid Blood Pressure Monitors SKU: 11-002 In Stock - Ships within 24 hours		$5.49	$5.49

1	Adaptive Star ASBKP-3 Seat BACK Insert Pad - Size 3 SKU: ASBKP-3 In Stock - Ships within 24 hours		$276.99	$276.99

1	Peg Perego 12 Volt Battery Charger SKU: MECB0034 Out of Stock		$29.95	$29.95

1	KidCo S352 Door Knob Lock - 2 Pk SKU: S352 In Stock - Ships within 24 hours		$4.49	$4.49

1	Health O Meter 2700KL-BT Portable 43 x 42 inch Wheelchair Scale with Built-in Pelstar Wireless Technology 1000 x 0.2 lb SKU: 2700KL-BT In Stock - Ships within 24 hours		$2,736.00	$2,736.00

1	KidCo S310 Sliding Door Lock - 2 Pk SKU: S310 In Stock - Ships within 24 hours		$6.85	$6.85

		Truck Shipping	$11.20	$11.20


			Total	$3,070.97