APTEI™ Essential Clinical Supplies

"Committed to patient care by providing high quality clinical products to maximize Physical Therapy evaluation and treatment effectiveness."®

Please Print & Complete This Order Form

and Fax or Mail it to APTEI E.C.S.

Tel & Fax: 905-707-0819

44 Sea Island Path, Thornhill, Ontario, CANADA L3T 3A4

Full name_______________________________________________ (Please print clearly)

Mailing address_____________________________________________ Suite #: ______

City: _________________ Province: _______________ Postal code: ________________

Contact Telephone Number_(____)_________________ Fax_(____)________________

 

Note: All prices are in Canadian Dollar.

Note: For more information on the products listed below, please visit the APTEI Clinical Library in this web site

Name of Product

Code #

Quantity

Unit Price

Total

q 1 roll of Cover Roll Stretch (White) (Minimum order: 5)

01005

 

$10.00

$

q 1 roll of Leukotape (Brown) (Minimum order: 5)

01004

 

$10.00

$

q A Therapeutic Taping Manual & DVD (highly recommended) or VHS

099

 

$95.00

$

q AMG Hand Held Sphyg. (Muscular Retraining Biofeedback Device): Includes two (2) bladders + An Instructional Video

01001

 

$129.00

$

q Mobilization Belts (Saunders 96

SA-08096

 

$20.00

$

q PRONEX Cervical Traction Unit (Canada Only&Please contact for pricing)

01002

 

$1.00

$

q Saunders Cervical Home Traction Unit

100399

 

$695.00

$

q Saunders Lumbar Home Traction Unit

101099A

 

$725.00

$

q Saunders Mother-To-Be Maternity Support

32505 (S, M, L, XL)

 

$85.00

$

q Saunders Sacroiliac Belt (Medium: 32

08122M

 

$28.00

$

q Saunders Scaroiliac Belt (Large: 42

08122L

 

$28.00

$

q Saunders SI Stabilization Pad

08200R

 

$26.00

$

q STP Neck Exerciser

01005

 

$25.00

$

q Strassburg Plantar Fascia Sock

1212

 

$44.95

$

 

Subtotal

$

 

Shipping & Handling

$ 10.00

 

8% PST (Ont. Only)

 

 

5% GST

 

 

TOTAL

$

 

Please mail in your payment if paying by cheque or simply fax in your order form if paying by Visa or Master Card.


r Cheque payable to: APTEI E.C.S.

r Visa # _________- _________- _________- _________ exp ____/ ____

r M/C # _________- _________- _________- _________ exp ____/ ____

 

Authorization Signature: ___________________________ Date: _______________________

"You and your patients satisfaction of our products is our greatest priority"

** Refunds or exchanges will be gladly provided within 30 days if the product is returned in a condition suitable for resale and in its original packaging.