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	Detecto 6868 Bariatric Flip Seat Scale, 1,000 lb x 0.2 lb SKU: 6868 In Stock - Ships within 24 hours		$3,838.45	$3,838.45

1	Polar 91063830 Pro Chest Heart Rate Monitor Strap, Black - XS-S SKU: 91063830 In Stock - Ships within 24 hours		$49.99	$49.99

1	Doran DS7060-HR Medical EMR Ready Handrail Scale with Height Rod 800 x 0.5 lb SKU: DS7060-HR In Stock - Ships within 24 hours		$1,295.00	$1,295.00

		Truck Shipping	$617.50	$617.50


			Total	$5,800.94