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	Seca 813 Robusta High Capacity Digital Floor Scale, 440 x 0.2 lb SKU: 8131321009 Backordered		$139.00	$139.00

1	Detecto 6550 Digital Wheelchair Scale, 1000 lb x 0.2 lb SKU: 6550 In Stock - Ships within 24 hours		$2,847.28	$2,847.28

1	Seca 525 mBCA Portable Medical Body Composition Analyzer SKU: 5250021139 In Stock - Ships within 24 hours		$5,249.00	$5,249.00

1	Detecto 6854DHR ProMed Digital Bariatric Scales 600 lb x 0.2 lb SKU: 6854DHR In Stock - Ships within 24 hours		$2,617.26	$2,617.26

1	Detecto 6857DHR ProMed Digital Bariatric Scales 1,000 lb x 0.2 lb SKU: 6857DHR In Stock - Ships within 24 hours		$2,829.26	$2,829.26

		Truck Shipping	$1,141.50	$1,141.50


			Total	$14,823.30