Order Form

Placing order  Send literature   Contact me

Submit order by e-mail (complete following), Fax (972-527-6073), Call (972-527-3687), or Mail (All orders are mailed to: EMTS Orders/Admin - 7000 Independence Pkwy, Suite 160-238 - Plano, TX 75025)

*Name of Person Placing Order Last First
Title
Company/Facility
E-Mail
*Phone
Fax

*Billing Address for Product

Street   Suite/Apt #

City   State    Zip Code 

*Mailing Address for Product

Street   Apt #

City   State    Zip Code 

*Product

If ordering CPR Prompt Manikins we suggest the color blue.

item 1 quantity of item 1 

item 2 quantity of item 2 

item 3   quantity of item 3

item 4   quantity of item 4

item 5   quantity of item 5

*Total Amount of Order$ No sales tax if shipped to location outside of Texas.  All others add local sales tax.

If tax exempt enter certificate number here:

Add In Shipping Costs: Less than $200 add $9.95, $201 to $350 add $15.95, $351 to $600 add 19.95, Over $600 shipping is free (Continental U.S. only)

*Payment Options 
Credit Card Payment Credit Card Type

Card #

Expiration month/year

Enter 3 digit V-code number on back of card:

 
Check# or MO# Enter Check # or MO # Complete this form on-line then press "Submit Order" at bottom of page.  Then print the confirmation page.  Mail the confirmation page (or copy) with payment to: EMTS - 7000 Independence Pkwy, Suite 160-238 - Plano, TX 75025. 
PO # Enter PO # Complete this form on-line then press "Submit Order" at bottom of page.  Then print the confirmation page.  Fax the Confirmation Page and PO form to: Registrations (972) 527-6073.  You will be contacted by fax or phone once processed. Must have prior approval to submit order via PO.