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	CHICCO 06079400950 Layla Tote & Dash Bag- Black SKU: 06079400950 In Stock - Ships within 24 hours		$89.99	$89.99

1	Detecto 475 Mechanical Medical Chair Scale, 400 lb x 4 oz SKU: 475 Available - Ships Within 24 Hours		$664.05	$664.05

1	HealthOMeter 64771 Scale Carrying Case SKU: 64771 In Stock - Ships within 24 hours		$87.00	$87.00

1	Convaid EZ12 900860-903463 EZ Rider 10 Degree Fixed Tilt Special Needs Stroller - Ocean Blue SKU: 900860-903463 Out of Stock		$1,418.40	$1,418.40

1	Convaid CX12 902845-903850 Cruiser Cordura 30 Degree Fixed Tilt Wheelchair - Mediterranean Blue SKU: 902845-903850 Out of Stock		$1,876.00	$1,876.00

1	Peg Perego IGOD0073 - Polaris RZR 900 - Pink SKU: IGOD0073 In Stock - Ships within 24 hours		$669.00	$669.00

1	Health O Meter 2500CKG Digital Wheelchair Scale with Fold Away Seat KG Only 454 x 0.1 kg SKU: 2500CKG In Stock - Ships within 24 hours		$3,731.00	$3,731.00

1	Polar 92075964 H10 Heart Rate Sensor and Fitness Tracker Black (XS-S) SKU: 92075964 In Stock - Ships within 24 hours		$104.95	$104.95

1	Convaid CX18 902594-903852 Cruiser Cordura 30 Degree Fixed Tilt Wheelchair Stroller - Deep Burgundy SKU: 902594-903852 Out of Stock		$2,036.00	$2,036.00

		Truck Shipping	$289.50	$289.50


			Total	$10,965.89