Medic 2001 Order Form

MEDIC 2000 ORDER FORM

To order, please complete the following form:

The Medic 2000 Unit is very compact and easy to take with you at all times. Almost the size of a pack of cigarettes. It has easy to read and operate controls, operating on batteries. It is all electronic, thus very reliable as well as highly portable..

Price per unit: $299.00
(Australia and U.S.)
(Retail) + Shipping & Handling
QTY: Total $:

If you desire information regarding being a distributor or discounts for resale, please click here

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Fields marked with an asterisk (*) must be entered.

To complete your order please complete the following form: *Today's Date: *Name: *Address1: Address2: *Town/City: *State: Zip Code: Province: *Country: *Your Phone Number? Your E-Mail Address? (Only for us) Your Internet Address?

We Accept:

Select payment form:

* Credit Card Number:

*Credit Card Expiration Date: Credit Card Expiration Date:

Month and Year

Name on Card:
3 digit # on back of card: * Sex: Male Female
Other information: (Please enter into box)
(All information submitted remains confidential. Credit Card billing will
appear on your statement as MTC (Our credit card service provider)
Please make checks and money orders payable to: Larry Smith
Mail to: 3619 E Verdin Road, Phoenix, AZ 85044 U.S.A.

or

If you prefer, you may call us at 480 899 4463 USA and order the Medic 2000.

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Typical Applications for Medic 2000 | The Wellness Center

Please make checks and money orders payable to: Larry Smith Mail to: 3619 E Verdin Road, Phoenix, AZ 85044 U.S.A.

or

Please make checks and money orders payable to: Larry Smith
Mail to: 3619 E Verdin Road, Phoenix, AZ 85044 U.S.A.