Update Price: $75
 

Fill out the order form below to process your order directly to our office. If you choose Fed Ex shipping, your order must be received before 12:30pm Pacific Standard Time to be processed the same day. If you prefer to pay by check please call our office at 800-729-4445 and we'll arrange c.o.d. delivery.

Shipping Information
First Name:
Last Name:
Email:
Name of Center:
Street:
City:
State:
Zip Code:
  
Credit Card Information
Cardholder Name
Card Number
Expiration Date
Security Code
   
Shipping Method
EmailFree
US Priority Mail$10.00
Fed Ex 2nd Day$28.00
Fed Ex Overnight$32.00
Fed Ex Priority Overnight$42.00
   
Please keep me informed of new services and products when they become available.