Online Order Form

BILL TO:

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METHOD OF PAYMENT Visa Mastercard Amex

Credit Card Number Expiry Date

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.

Sub-Total: $

SHIPPING RATES FOR NORTH AMERICA

1 Item: $7.00
2-3 Items: $8.00
4-6 Items: $10.00
7-9 Items: $15.00
9+ Items: $20.00
 

Some exceptions may apply for larger items or more isolated areas. 
If this is the case you will be contacted for approval  before your item is shipped.

If ordering the PR1010 TENS Machine, TM3004 EMS Machine, UL 100 UPlift Seat Assist, AP2000 Acu Plus System, and/or DL 10 Daylight 10000 the shipping rate is $15 (standard) or $30 (express) for each of these five items.

SHIPPING RATES OUTSIDE NORTH AMERICA
Please Call 1-800-265-3354 or E-Mail customerservice@debmar.com for Rate

Shipping: $ See Shipping Rates Above

Tax
Ontario residents please add 8% PST & 7% GST
Newfoundland, Nova Scotia & New Brunswick residents please add 15% HST/GST
All other Canadian residents please add 7% GST
U. S. Dollars Outside Canada - No Taxes

PST if applicable: $ GST if applicable: $ HST if applicable: $

Order Total: $

THANK YOU FOR YOUR ORDER.