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	Baby Jogger 2084012 Glider Board SKU: 2084012 In Stock - Ships within 24 hours		$139.99	$139.99

1	Rice Lake RL-350-5 Portable Bariatric Wheelchair Scale Single Ramp , 1000 lb x 0.2 lb SKU: 150703 In Stock - Ships within 24 hours		$2,070.00	$2,070.00

1	Embe 2-Way Baby Infant Swaddle - Pink Stripe SKU: ELUSTR1023 In Stock - Ships within 24 hours		$34.99	$34.99

1	Waba Fun 150504 - Kinetic Sand 5lb Box - Purple/Red SKU: 150504 In Stock - Ships within 24 hours		$49.95	$49.95

1	Seca 206 Roll-up measuring tape with wall attachment 0 - 220 cm only SKU: 2061717009 In Stock - Ships within 24 hours		$75.00	$75.00

		Truck Shipping	$240.20	$240.20


			Total	$2,610.13