TOLL FREE USA :: 1-800-649-4265

TEL: 1-631-242-1642
FAX: 1-631-242-4564

940-D Grand Blvd.
Deer Park, New York 11729



Founded In 1980

New Rescue Chair
Model # 1900
Fire, Power Outage, Terrorist Attack, Gas Leak, Hurricane, Tornado

Government and Commercial Credit Cards Accepted:
Visa | Master Card | American Express | Discover
Fill out the information below and hit the submit button at the bottom of the page OR print out this page, fill in the information and fax to 1-631-242-4564

Information
Name and Title
 
Company Name
 
Phone Number - Area code first
 
Fax Number - Area code first
 
E-mail Address
 
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Billing Address
*Street
 
*Town/City
 
*US State
 
*Non US State
 
*Zip/Postal Code
 
* Country
 
 
Shipping Address
Same as above
 
*Street
 
*Town/City
 
*US State
 
*Non US State
 
*Zip/Postal Code
 
* Country
 
 
Credit Card Information
*Type
 
*Credit Card Number
 
*Expiration Date MM/YY 
 
 
Purchase Order Number
 
 
 
Quantity
Total
Product - Model 1900

1 to 2 | $1,290/ea

3 to 9 | $1,270/ea

10+ | $1,250/ea
$
 
   
Accessories
Dust Cover | $70.00/ea
$
 
 
Shipping/Handling & Insurance (per Model 1900)

East of Mississippi | $45.00/ea

West of Mississippi | $60.00/ea

Puerto Rico, Alaska, Hawaii | $115.00

Canada (BC,NY,YT,AB) | $85.00

Canada (All Others) | $70.00
$
 
 
Sales Tax
Sales tax is applicable to all units shipped within New York State, unless proper exempt certificates are provided with order.
Please input you local county tax rate
  I am am exempt. Please fax your tax exempt form to 1-631-242-4564 in order to complete your order
%
 
 
Total
$
 
 
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