TECHNI-ICE SECURE ORDER FORM

Note: This order form is for the purchase of the 4-Ply Sheets of TECHNI-ICE and our companion body therapy products. If you are interested in our custom-printed commercial model, please contact us for a price quote. We look forward to assisting you.

Billing Address:
Name:
Street:
City:
State/Province:
Zip Code:
Email Address:
(i.e. you@aol.com)
 
 
 
 
 
 
Payment Method:
Select Method:
Credit Card Number:
Name on Card:
Expiration Date:
 
 
 
 
Please Enter Desired Quantity Below:

Sheet(s) @ $6.99 per sheet
3-Sheet Pack(s) @ $17.95 per pack
5-Sheet Pack(s) @ $24.95 per pack
25-Sheet Pack(s) @ $112.50 per pack
100-Sheet Pack(s) @ $399.95 per pack
Elbow Band(s) @ $13.95 each
Foot Pack(s) @ $8.95 each
Head Band(s) @ $9.95 each
Knee Band(s) @ $15.95 each
Neck Wrap(s) @ $11.95 each
Muff(s) @ $18.95 each
Collar Wrap(s) @ $9.95 each
Back Wrap(s) @ $25.95 each
Vest(s) (Camaflouge) @ $59.95 each
Vest(s) (Green) @ $59.95 each
Wrist Band(s) @ $7.95 each
Sock(s) @ $20.95 each
Pad(s) @ $13.95 each

Applicable Shipping Charges:

* $ 4.95 for 1 - 10 Items
* $ 7.00 for 11- 25 Items
* $ 9.00 for 26 - 100 Items

* Unless otherwise requested, all orders shipped via USPS Priority Mail.

How did you hear about us?
Comments/Special Shipping Instructions:

 

If you would like to retain a copy of your order for your personal records, just fill in the form above, then print it prior to pressing the "Send Order" button. Thank you for your interest in TECHNI-ICE, the High-Tech Ice Replacement. Please send your questions or comments to:

BioScan Screening Systems, Inc.
TECHNI-ICE Division
354 Clarkston Drive
Smyrna, TN 37167
Phone (615)459-9061
Fax: (615) 355-5114
Email: orderdept@techniiceamerica.com

 

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