opsmedical: Checkout: Customer Information

You have entered a "Secure Checkout Zone" designated by the "https" in the address bar! - We need a minimum of information about you so we can process and send your order. *Note: The "bill to" information must match the cardholders billing information, ie. Where is the credit statement sent? Address, phone, etc.

Code	Product	Quantity	Price/Ea.	Total
01-50-4	AQUASONIC 100 ULTRASOUND TRANSMISSION GEL, 5 liter SONICPACŽ with refillable dispenser, 1 per box	1	$24.00	$24.00
			Total:	$24.00

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