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	Ultrak L10-6B Professional Sports Timing System, 6 Lane SKU: L10-6B In Stock - Ships within 24 hours		$639.00	$639.00

1	HealthOMeter PORTROD Wall mounted height rod SKU: PORTROD In Stock - Ships within 24 hours		$130.00	$130.00

1	Peg Perego Primo Viaggio Convertible Car Seat - Licorice with Travel Bag SKU: IMCO00US35BL13DXKT Out of Stock		$399.99	$399.99

1	Convaid CX14 900490-903465 Cruiser Textilene 30 Degree Fixed Tilt Wheelchair Stroller - Purple SKU: 900490-903465 Out of Stock		$1,876.00	$1,876.00

		Ground, UPS	$0.00	$0.00


			Total	$3,044.99