TENS PAIN
CONTROL ORDER FORM
CHECK THE BOX NEXT TO THE PRODUCT NAME AND
INPUT THE QUANTITY.
CALL TOLL FREE -- FAX -
24hrs (888) 280-0299 ---- PHONE (888) 293-0728
How to Order
Online - Click
here for SECURE SHOPPING CART
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Product
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Description
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Price (1)
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TENS - transcutaneous
electro-nerve stimulator. Dual channel with
independent amplitude controls. Pulse rate control,
pulse width control, 3 modes: Burst, Modulation,
Continuous, timer, battery, case and four
electrodes. Comes with a five year warrantee
against manufacturers defects. If you ever have a
problem simply send it to us for a replacement. You
MUST HAVE a doctor's prescription to buy this unit.
Please Mail or Fax (619) 296-2242 your
doctor's prescription to
our office. TENS INFORMATION
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$99.00
QTY:
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VITAL TENS BASIC UNIT ONLY $59.95
It will be shipped UPS Ground and will be sent within
24 hrs in most cases.
Shipping
information:(7.75% Sales
Tax in CA only.)
We can
only ship to the credit card holder.
Your name:
Email address(For order confirmation):
Company name:
Street address:
City: State:
Zip Code:
Special
Instructions:
Payment Information:
(credit card info can be faxed (888) 280-0299 or called (888) 293-0728)
Payment method:
Name on Credit Card:
Credit Card Number:
Expiration Date:Format: MMYY
Credit Card Billing Address
and Zip:
Daytime telephone number :
(We will E-mail you an order confirmation number via e-mail as soon as we process your order.)
(If you do not receive an order confirmation number within 24-48 hrs please resubmit your order.)
Thank you for your interest in our products.
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