Used Physician Medical Scales Order Form

Used Physician Medical Scales Order Form
Order pre-owned physician medical scales easily and securely using this form.
Full Name
First NameLast Name
Organization (optional)
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Shipping Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Used Physician Medical Scales
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Mechanical Beam Scale
Classic physician beam scale, pre-owned and calibrated.
$120.00Quantity

Digital Physician Scale
Digital display, used condition, tested for accuracy.
$185.00Quantity

Wheelchair Scale
Wide platform, suitable for wheelchairs, pre-owned.
$350.00Quantity

Total
$0.00
Preferred Delivery Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Order Notes or Special Instructions
Should be Empty: