THERAPY TABLES & MASSAGE TOOLS FOR A THRIVING PRACTICE

9. ORDER FORM FOR ASTRA-LITE MASSAGE TABLES AND ACCESSORIES:

1) PROFESSIONAL SERIES: (click here to see model)

____Quasar III XLG. @27.5 lbs. (12.6 kg)
 
  33.75 X 73" (86 cm X 185 cm)............................................. $ 565.00
     
____Lumina III LG. @24.5 lbs. (11.11 kg)  
  29 * X 73" (75 cm X 185 cm)................................................ $ 555.00
     
____Starlite III MED. @ 23.5 lbs. (10.66 kg)  
  27 * X 73" (70 cm X 185 cm)................................................ $545.00
     
____Pulsar III SM. @ 21.0 lbs. ( 9.53 kg)  
  25 * X 69" (65 cm X 175 cm) ................................................ $ 535.00

1a) LEG HEIGHT: (Height indicates working surface of the table)

____17) 21-30" (53-76 cm) ____18) 22-31" (56-79 cm)  
____19) 23-32" (58-81 cm) ____21) 25-34" (64-86 cm).............. $ N/C
     
____Powder Coat Leg Finish (discontinued, except for orders of 5 or more)  
  (Pro Series Adjustable Legs Only.)...................................... $ 75.00
     
____Custom Non-Adjust Leg Height @ _____Inches  
  Your choice of 18-34" Only. (39-75 kg) Subtract 1 lb. This is a CUSTOM NON-RETURNABLE item.  
  Powder Coat not available on custom height tables.......... <$ 35.00>

2) For questions or concerns call toll free 1-888-824-7558: (click here to see model)

____Cosmos III XLG. @ 25.5 lbs. (11.11 kg)  
  33.5 X 73" (83 cm X 185 cm)............................................... $ 455.00
     
____Venus III LG. @ 22.5 lbs. (10.21 kg)  
   29 * X 73" (75 cm X 185 cm)............................................... $ 450.00
     
____Mercury III MED. @ 21.5 lbs. (9.75 kg)  
  27 * X 73" (70 cm X 185 cm)................................................ $ 445.00
     
____Taurus III SM. @ 20.75 lbs. (9.41kg)  
  25 * X 73" (65 cm X 185 cm)................................................ $ 440.00

2a) LEG HEIGHT: (Height indicates working surface of the table)

____L) 22.5-31.5" (57-80 cm) _____T) 24.5-33.5" (62-85cm) $ N/C

4) SALON MATE (discontinued)

5) LEVANTE UPHOLSTERY COLORS: (See color Sample chart)

BURGUNDY, TEAL, AGATE, BLACK, HUNTER, MUSHROOM $ N/C

6) ULTRA-LEATHER COLORS: (See color Sample chart)

Please Specify Color Desired ; Subtract 1 lb (.45 kg)............ $ 160.00

7a.) OPTIONS:

____Extra 3/4" Foam ; Add 2 lbs. (.91 kg)...................................... $ 45.00
____4 MM Baltic Birch Ply ; Add 1.5 lbs. (.68 kg) $ 25.00
____Maxi Tilt Head Cradle (Ecnmy Series Only) Add 1.75 lbs. $110.00
____Full Adjustable Tilting Head Cradle ; Add 1.5 lbs. (.68 kg) $ 90.00
____Standard Semi Adjust Head Cradle ; Add 1.5 lbs. (.68 kg) $ 60.00

7b.) CUSTOM OPTIONS:

____Powder Coat for Quasar (SORRY discontinued)................. $ 0
____Ivory Color Powder coat leg finish (discontinued)............... $ 0.00
____Regular Face Hole cut out in tear drop shape...................... $ 55.00
____Regular Face Hole Plug........................................................... $ 15.00
____Regular Face Hole in Ultra-Leather........................................ $ 100.00
____Regular Face Hole and Plug in Ultra-Leather........................ $125.00
____Crescent Face Hole.................................................................. $ 95.00
____Crescent Face Hole and Plug.................................................. $115.00
____Crescent Face Hole in Ultra-Leather...................................... $135.00
____Crescent Face Hole and Plug in Ultra-Leather...................... $175.00
____Foot Support ; Add 1.75 lbs. (.79 kg)...................................... $ 65.00
____Foot Support in Ultra-Leather ; Add 1.5 lbs. (.68 kg)............. $ 95.00
____Rubber Feet (light gray only)................................................... $ 20.00

____Other_______________________________________

 
_______________________________________________ $

8) ACCESSORIES: (click here to go to accessory page)
Note: All items will be sent in table color unless otherwise noted.

____Travel Case (in Charcoal Gray only)................................. $ 90.00
____Knee Cushion / 3/4 Round, 23" long $ 30.00
____Knee Cushion Ult-Leather / $ 55.00
____MIT Bolster/ full round 6" x 23" long $ 45.00
____MIT Bolster in Ultra-Leather / ................................... $ 65.00
____DM Bolster Set / 3" x 6" x 11.5" long $ 40.00
____DM Knee Bolster in Ultra-Leather/ $ 75.00
     
____Neck Cushion/ 2.5" tall x 4" wide x 11" long $ 20.00
____Neck Cushion in Ultra-Leather $ 30.00
     
____ZB Head Support / 2 panels at 1" x 7" x 9" long $ 25.00
____ZB Head Support in Ultra-Leather/ $ 45.00
     
____Arm Support Extender Set/ $ 55.00
     
____Arm Support Ext. Set Ultra-Leather / $ 95.00
     
____C3P Crescent Face Pillow/ $ 20.00
     
____C3P Cresc Face Pillow Ultra-Leather / $ 40.00
     
____Face Pillow Covers QTY______@ ................................... $8.00 each
____1/2 Dozen (6) Face Pillow Covers @................................ $ 40.00/ * dz
____1 Dozen (12) Face Pillow Covers @................................. $ 70.00/ dz

Sheets: Drawstring, one size fits all, fitted sheet  

$ 35.00____
Flat, one size fits all sheet___________  
$ 15.00
Sheet Set: 1 Fitted and 1 Flat  
$45.00_______
SUBTOTAL  
$________
In Calif. add 8.25% Tax & in Hawaii add Tax 4.166%
$________
   
Total Due
$________
Shipping is now Free on all portable tables in the Cont. US and $50 off S/H Price to HI/AK
 

All CAPITALIZED information must be filled in to complete order.
BILLING NAME:_______________________________________
ADDRESS:__________________________________________
CITY, ST:________________________ ZIP CODE:___________
Country:__________________________
PHONE (____)_______________Fax(____)_________________
E-mail________________________

Ship To Address: (if different than billing address)
BILLING NAME:_______________________________________
ADDRESS:__________________________________________
CITY, ST:________________________ ZIP CODE:___________
Country:__________________________
PHONE (____)_______________Fax(____)_________________

Note: For credit card orders, billing information must be the same as on credit card statement.

Methods of Payment: (please circle one)
CHECK, M.O., VISA, MC, DISCOVER, AMERICAN EXPRESS
MAKE CHECKS PAYABLE TO: HEALTH IS WEALTH MAUI LLC
* All personal or business checks must have ID number written on check with a physical address and phone number. No starter checks please.

Please send your Order Form and payment
to the address at the top of this page, or mail it to: PO Box 792040, Paia HI 96779 or send an email to confirm.

CREDIT CARD #__________-__________-__________-__________
EX. DATE:_______/________ SIGNATURE:_____________________________________

This is from the Website: http://healthiswealthmaui.com
For questions or concerns call toll free 1-888-824-7558

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