Biomove 3000 Order Form
Contents
1. Amjo Corp Biomove Order Form Please fill in the sections below and fax or mail to Amjo Corp PO Box 8304 West Chester OH 45069 Tel 513 942 2770 Fax 513 942 2771 eMail support amijo net Quantity Biomove 3000 Plus Shipping Includes three packs of four Biotrode electrodes 1 595 00 patient cable belt and user manual Biomove 5000 Plus Shipping Includes three packs of four Biotrode electrodes 3 950 00 patient cable belt and user manual Sheet of Four Biotrode Electrodes 30 00 Sheet of Four Biotrode Electrodes Five Pack 125 00 Shipping and Handing Grand Total Bill To Name Billing Address City State amp Zip Tel Number Fax Number Credit Card Type Amex VisaL Master CardL Discover L Credit Card Number Expiry Date Your eMail address Shipping Address Leave blank if same as Bill To Name Shipping Address City State amp Zip Phone lt Ship to address Phone Number is Needed Customer Signature Note A Prescription is Required In the USA this order can only be filled if it is accompanied by a prescription from a medical doctor Prices subject to change without notice See Next Page or Reverse for our Return Policy Amjo Corp 90310 Amjo Corp Biomove Return Policy We realize that the Biomove Systems may not help everyone It is our goal that each of our customers feel comfortable wor2. king with Amjo Corp and to that end we do permit product returns within the first THIRTY 30 days following shipment subject to the following caveats You must contact Amjo by email letter or telephone and request a return authorization number prior to returning the product We reserve the right to reject unauthorized product returns This item can be returned to Amjo Corp within 30 Days of our ship date We will charge a restocking fee of 20 for the Biomove 3000 or Biomove 5000 itself plus we will charge you 90 00 3 x 30 00 for the Biotrode Electrodes which are not returnable for reasons of health and safety Consumable items such as the Biotrode electrodes are not returnable Biotrode electrodes are for use by a single person and cannot be resold by Amjo No return will be accepted for refund unless it is in a like new condition and is packed in its original packaging Freight and handling charges will not be reimbursed Please call AMJO at 513 942 2770 to arrange return Unauthorized Returns may be rejected Smokers Take Note Today many people will not tolerate the smell of smoke or even traces of the smell of smoke on any item Smokers who return products must be aware that if we detect the smell of smoke on an item making it not re sellable then no refund will be issued Remember it is your responsibility to re pack the product properly arrange for its safe return to Amjo Corp You would be wise to insure the shipment
3. so that in the event of loss or damage you are not out of pocket We recommend that you ship to us using some form of traceable shipping method so that your shipment can be tracked Amjo Corp 90310
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