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 2500CKL Digital Wheelchair Scale with Fold Away Seat 1000 lb x 0.2 lb SKU: 2500CKL In Stock - Ships within 24 hours		$3,731.00	$3,731.00

1	Ultrak L10-10B Professional Sports Timing System, 10 Lane SKU: L10-10B In Stock - Ships within 24 hours		$689.00	$689.00

1	Omron NE-C30 Comp Air Elite Compact Compressor Nebulizer System SKU: NE-C30 In Stock - Ships within 24 hours		$34.95	$34.95

		Truck Shipping	$1,851.00	$1,851.00


			Total	$6,305.95