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Order form

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Home
About IPC
Medical
Sports
Mobility
Products
Contact
Order form

Order form

Please fill in the form below to place an order.

Company

VAT-Number

First name

Last name

Phonenumber

Emailadres

Street + number

Zipcode

Place

Country

HOME4 Model LX9max HOME4 Model 4MAX

PRO6 Model MK400ALW PRO6 Model MK400L

Leg cuff 4-EL Arm cuff 4-EA Waist cuff 4-EW Extension zipper arm cuff 4-AZ Extension zippers leg cuff 4-LZ Extension zippers 4MAX leg cuff 4-LZ4M Set of two loose linings LL Single hose 4-EH1 Double hose 4-EH2 Distribution hose 4-EH3 Exclusive Doctor Life storage bag 4-BAG

Arm cuff 6-A Waist cuff 6-W Leg cuff L 6-LL Leg cuff XL 6-L Leg cuff XXL 6-LXX Extension zipper leg cuff XL piece 6-LZ Extension zipper leg cuff XL pair 6-LZP Extension zipper arm cuff 6-AZ Lining leg cuff LL Single hose 6-H1 Distribution hose 6-H2

Comment or question if necessary

All prices exclude 21% VAT

Fill in the order form completely and submit it.
You will receive an pro-forma invoice by e -mail.
Free delivery via DHL inside NL for orders above 100,- euro.
Cuffs can not be exchanged for hygienic reasons.
You will get 2 years warranty on the compressor and 6 months warranty on the cuffs.

Doctor Life products are imported by:

Phonenumber

+31 (0)6 229 063 10

E-mail address

info@doctorlife.nl

Adress

Frans L. Blomlaan 2
4143 CX Leerdam
The Netherlands

Mentioned prices are exclusive of VAT