Download Biomove 3000 Order Form

Amjo Corp
Biomove Order Form
Quantity
Please fill in the sections below and fax or mail to:
Amjo Corp
PO Box 8304, West Chester, OH, 45069
Tel: 513 942 2770 -- Fax: 513 942 2771
eMail: [email protected]
Description
** Unit Price
Biomove 3000 (Plus Shipping)
$1,595.00
(Includes three packs of four Biotrode electrodes,
Total
patient cable, belt and user manual)
Biomove 5000 (Plus Shipping)
$3,950.00
(Includes three packs of four Biotrode electrodes,
patient cable, belt and user manual)
Sheet of Four Biotrode Electrodes
$30.00
Sheet of Four Biotrode Electrodes (Five Pack)
$125.00
Sub Total:
Shipping and Handling:
Grand Total:
Bill To Name:
Billing Address:
City, State & Zip:
Tel Number:
Fax Number:
Credit Card Type:
Amex
□
Visa
□
Master Card
□
Discover
□
Credit Card Number:
Expiry Date:
Your eMail address:
Shipping Address (Leave blank if same as Bill To)
Name:
Shipping Address:
City, State & Zip:
Phone:
< Ship to address Phone Number is Needed
Customer Signature:
Note: A Prescription is Required.
In the USA, this order can only be filled if it is
accompanied by a prescription from a medical doctor.
** Prices subject to change without notice.
See Next Page or Reverse for our Return Policy
Amjo Corp 90310
Amjo Corp Biomove Return Policy
We realize that the Biomove Systems may not help everyone. It is our goal that each of our
customers feel comfortable working with Amjo Corp and to that end we do permit product
returns within the first THIRTY (30) days following shipment subject to the following
caveats.

You must contact Amjo by email, letter or telephone and request a return authorization number
prior to returning the product.

We reserve the right to reject unauthorized product returns.

This item can be returned to Amjo Corp within 30 Days of our ship date.

We will charge a restocking fee of 20% for the Biomove 3000 or Biomove 5000 itself plus we
will charge you $90.00 (3 x $30.00) for the Biotrode Electrodes which are not returnable for
reasons of health and safety.

Consumable items such as the Biotrode electrodes are not returnable. Biotrode electrodes are
for use by a single person and cannot be resold by Amjo.

No return will be accepted for refund unless it is in a 'like new condition' and is packed in its
original packaging.

Freight and handling charges will not be reimbursed.

Please call AMJO at 513-942-2770 to arrange return.

Unauthorized Returns may be rejected.

Smokers Take Note: Today many people will not tolerate the smell of smoke or even traces of
the smell of smoke on any item. Smokers who return products must be aware that if we detect
the smell of smoke on an item making it not re-sellable then no refund will be issued.

Remember, it is your responsibility to re-pack the product properly, arrange for its safe return
to Amjo Corp. You would be wise to insure the shipment so that in the event of loss or damage
you are not out of pocket. We recommend that you ship to us using some form of traceable
shipping method so that your shipment can be tracked.
Amjo Corp 90310