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	Health O Meter 2700KL-BT Portable 43 x 42 inch Wheelchair Scale with Built-in Pelstar Wireless Technology 1000 x 0.2 lb SKU: 2700KL-BT In Stock - Ships within 24 hours		$2,736.00	$2,736.00

1	KidCo S352 Door Knob Lock - 2 Pk SKU: S352 In Stock - Ships within 24 hours		$4.49	$4.49

1	Hi Bebe BT-200T Fetal Monitor with Free Tube of Ultrasound Lotion 3MHz SKU: 200TWLOTION In Stock - Ships within 24 hours		$119.95	$119.95

1	Baby BAir 90211 Infant Flight Vest SKU: 90211 In Stock - Ships within 24 hours		$42.95	$42.95

1	LifeSource 11-003 End Valve for UA-100 & UA-200 Aneroid Blood Pressure Monitors SKU: 11-003 In Stock - Ships within 24 hours		$2.99	$2.99

		Truck Shipping	$1,927.00	$1,927.00


			Total	$4,833.38