Request a Shipping Quote

Please fill out the form below to request a shipping quote.

All quotes include:

• Standard Shipping
• Call before delivery
• Truck with lift-gate
• 1 Man - Inside delivery
• Crate inside office, but not uncrated

*White glove service is available and includes a 2 man crew, uncrating, exam room delivery and disposal of packaging.

Please fill out the required fields

1. Title *
   Dr. Mr. Mrs. Ms. Miss
2. Name *
3. Email *
4. Phone Number *
5. City *
6. State *
   AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY International
7. US Zip Code or Internationl Airport Code *
8. What product model? *
   Please choose one HA90C Table Air-Flex Table A-F-T Automatic Flexion Table Anatomotor Traction Massage REPEX 2 Evolution DT HA90AM - Hi-Lo HA90 (OMT) HA90E Exam Chair HA90MD Exam Chair HA90P Podioatry Chair HA90W Wound Care Chair HA90D Dermatology Chair HA90V Vascular table HA90ALB Aesthetics Chair Counterstrain Table HA90CT Cast Table HA90M Mat Table HA90PT Table Rath Mechanical Table PT Tilt Table Occupational Table HF54 Ultrasound Horizon Light Therapy Aklarus Photo Therapy Other
9. How many? *
   1 2 3 4 5 6 7 8 9 10+
10. Additional Notes
11. How did you hear about us?  
    Internet Search / Website Dealer Magazine Tradeshow Word of Mouth Other
12. Security Code: *
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13.