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	Detecto IBFL500 Digital In-Bed Scale Fixed Base 500 lb x 0.1 lb SKU: BFL500 In Stock - Ships within 24 hours		$4,773.69	$4,773.69

1	Triple Play 7601BZ 3-n-1 Diaper and Travel bag - Black Zebra SKU: 7601BZ In Stock - Ships within 24 hours		$34.95	$34.95

1	LifeSource UA-282 Arm Cuff For Extra Large Arms for UA-789AC Blood Pressure Monitor SKU: UA-282 In Stock - Ships within 24 hours		$70.99	$70.99

1	Peg Perego Ducati GP Motorcycle Ride On with Spare 12 Volt Battery and Charger SKU: 2FAST2FURY In Stock - Ships within 24 hours		$510.00	$510.00

		Truck Shipping	$293.00	$293.00


			Total	$5,682.63