Order Form
MEC Used EKG Machines &
ECG-SPO2-CO2-O2 Medical Monitors

Bill To: Ship To:
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
__________________________________ __________________________________
Telephone #:__________________________ Telephone #:__________________________
Fax #:______________________________

 

Date: P.O. # Ship Via: FOB: Terms: Warranty: Reconditioned:
             

Credit Card Type (Circle One):
Credit Card Number: __________-__________-__________-__________ Exp. Date: _____ mo/_____yr
Signature: ________________________________________________

Quantity: Brand
Name:		 Item#: Description: Unit Price: Total:
           
           
           
           
           
Make check payable to:
MEC, Inc.

 x______________________
    _________________________  Please Print Name
     Signature Authorizes Purchase
     of Equipment for Facility

MEC std. terms apply.

 Subtotal  
Tax  
Shipping  
   
Balance Due  

To Place A Order:
Please fax signed Order Form to 1-419-628-2548 and remit deposit to address below!

MEC Anesthesia Machines & Surgical Equipment
Division of MEC, Inc.

12 Eagle Street, Minster, Ohio  45865  1-888-355-9694  Fax: 419-628-4005  Email: sales@meconline.com
www.bonedensitometry.com   www.1-medical-equipment.com   www.defib-ecg-ekg-monitors.com  http://www.anesthesia-surgical-equipment.com   www.used-medical-monitors.com