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	UPPAbaby 0901-MMB-US Mesa Max Car Seat Base - Open Box SKU: 0901MMBUS Open Box In Stock - Ships within 24 hours		$129.99	$129.99

1	Omron BP6350 7 Series Wrist Blood Pressure Monitor SKU: BP6350 In Stock - Ships within 24 hours		$84.95	$84.95

1	Detecto IB800-C-AC Digital In-Bed Scale Adjustable Base with WiFi / Bluetooth and AC Adapter 800 lb x 0.2 lb SKU: IB800-C-AC In Stock - Ships within 24 hours		$7,464.09	$7,464.09

1	Phil & Teds - Alpha Infant Car Seat - Flint/Red SKU: CSALATCH In Stock - Ships within 24 hours		$199.99	$199.99

1	Convaid CX10 903314-903759 Cruiser Cordura 30 Degree Fixed Tilt Wheelchair - Pink SKU: 903314-903759 Out of Stock		$1,876.00	$1,876.00

		Truck Shipping	$460.20	$460.20


			Total	$10,215.22