part number part description price quantity requested - I-Cat

PART NUMBER
PART DESCRIPTION
PRICE
1.005.8616
1.006.9827
1.006.3070
1.007.0552
1.006.9826
1.006.3389
1.006.6829
1.006.3072
CHIN CUP (CONTOURED)
CHIN REST (FLAT)
BITE STICK (i-CAT CLASSIC)MIN QTY 2
BITE STICK (ALL OTHER Machs.)MIN. QTY 2
BITE TIPS (BAG OF 25)
HEAD STRAPS (50 PER BOX)
VELCRO HEAD RESTRAINT KIT
CMT – BITEBLOCK(BAG OF 25)
$12.10 for 2
$8.24 for 2
$15.56 FOR 2
$13.90 FOR 2
$47.17 PER BAG
$59.50 PER BOX
$32.45 PER KIT
$14.75 PER BAG
QUANTITY
REQUESTED
PAYMENT INFORMATION
CREDIT CARD NUMBER
EXPIRATION DATE
SECURITY CODE
NAME ON CARD
SHIPPING INFORMATION Ship To:
Contact Name
Contact Phone
Address
City/State/Zip
Serial Number
SHIPPING METHOD
FEDEX GROUND
FEDEX NEXT DAY
Prices quoted do not include transport charges and applicable sales tax. Prices are subject to change without notice.
Dear Customer,
The following form can be used to order accessories for the i-CAT or
Gendex CB500. Please indicate how many of each item you would like to
purchase, provide payment information, the shipping address and method of
shipment.
Please return the form via fax to 215-997-5665 or it can be emailed to
[email protected].
If you need any assistance or have any questions please contact the Parts
Department at 215-997-5666 extension 3.
Thank you for your order and have a great day!
ISI Customer Service Team