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Professional
Portable
Super Lightweight Portable
Stationary
Chiropractic
Portable |
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| Print out order form, fill out accordingly, and fax or send in with check to address above. You are more than welcome to call order in @ 800-368-5483 Monday through Friday, 9:00 am to 4:30 pm Pacific time. | |||
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| 1) PROFESSIONAL SERIES: (click here to see model) | |||
| ____QUASAR III @27.5 lbs. (12.47 kg) |
33.5 X 73" (86 cm X 185 cm) |
$ 540.00 | |
| ____LUMINA III @24.5 lbs. (11.11 kg) |
29.5 X 73" (75 cm X 185 cm) |
$ 530.00 | |
| ____STARLITE III @ 23.5 lbs. (10.66 kg) | 27.5 X 73" (70 cm X 185 cm) | $ 520.00 | |
| ____PULSAR III @ 21.0 lbs. ( 9.53 kg) | 25.5 X 69" (65 cm X 175 cm) | $ 510.00 | |
| 1a) LEG HEIGHT: (Height indicate working surface of 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 |
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| 2) SUPER LIGHTWEIGHT SERIES: (click here to see model) | |||
| ____COSMOS III @ 25.5 lbs. (11.57 kg) |
33.5 X 73" (85 cm X 185 cm) |
$ 430.00 | |
| ____VENUS III @ 22.5 lbs. (10.21 kg) |
29.5 X 73" (75 cm X 185 cm) |
$ 425.00 | |
| ____MERCURY III @ 21.5 lbs. (9.75 kg) | 27.5 X 73" (70 cm X 185 cm) | $ 420.00 | |
| ____TAURUS III @ 20.75 lbs. (9.41kg) | 25.5 X 73" (65 cm X 185 cm) | $ 415.00 | |
| 2a) LEG HEIGHT: (Height indicate working surface of table) | |||
| ____L) 22.5-31.5" (57-80 cm) _____T) 24.5-33.5" (62-85cm) | $ N/C | ||
| 3) STATIONARY SERIES: (click here to see model) | |||
| ____VENUS Stat III @ 31.25 lbs. ( 14.17 kg) |
29.5 X 73" (75 cm X 185 cm) |
$ 320.00 | |
| ____MERCURY Stat III @ 29.25 lbs. (13.27kg) | 27.5 X 73" (70 cm X 185 cm) | $ 315.00 | |
| ____TAURUS Stat III @ 27.25 lbs. ( 12.36 kg) | 25.5 X 73" (65 cm X 185 cm) | $ 310.00 | |
| 3a) LEG HEIGHT: (Height indicate working surface of table) | |||
| ____L) 22.5-31.5" (57-80 cm) | ____T) 24.5-33.5" (62-85cm) | $ N/C | |
| 4) CHIROPORT: (click here to see model) | |||
| ____CHIROPORT
III @ 16 lbs. (7.26 kg) (Includes 5 position head piece. Available in Levante Vinyl only.) |
17.5 X 53" (45 cm X 135 cm) |
$ 400.00 | |
| ____CHIROPORT
III-20 @ 16.5 lbs. (7.48 kg) (Includes 5 position head piece. Available in Levante Vinyl only.) |
20 X 53" (51 cm X 135 cm) |
$ 405.00 | |
| ____CHIROPORT
III-22 @ 17 lbs. (7.71 kg) (Includes 5 position head piece. Available in Levante Vinyl only.) |
22 X 53" (56 cm X 135 cm) |
$ 410.00 | |
| ____CHIROPORT
III-BN @ 19 lbs. (8.62 kg) (Includes 5 position head piece and Lock Rod accessory. Available in Levante Vinyl only.) |
22 X 59" (56 cm X 150 cm) |
$ 460.00 | |
| ____Foot Cutout For Chiroport-BN table (Cost Non-Refundable if table returned) | $ 45.00 | ||
| ____Lock Rod (Included with the Chiroport III-BN model) | $ 40.00 Net | ||
| ____Foot Support ; Add lb. (.45 kg) (Cost Non-Refundable if table returned) | $ 62.00 | ||
| ____Arm Support Set (Cost Non-Refundable if table returned) | $ 52.00 | ||
| ____Cotton/Poly Pad Covers; (Set of 2) $ 9.00/ Set 1/2 Dozen | $ 45.00 | ||
| ____Travel Case (in Charcoal Grey only) For CHIROPORT III and 22 | $ 75.00 | ||
| ____Travel Case (in Charcoal Grey only) For CHIROPORT III-BN | $ 82.00 | ||
| 5) LEVANTE UPHOLSTERY COLORS: (See color Sample chart) | |||
| ____Hunter
____Black
____Jade ____Agate
____Burnt Rose ____Burgundy ____Teal ____Mushroom ____Flint Grey ____White |
N/C |
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| 6) ULTRA-LEATHER COLORS: (See color Sample chart) Subtract 1 lb (.45 kg) | |||
| ____Juniper
____Baltic ____Berry
____Brick ____Shetland ____Papyrus ____Raven Wing ____Dove Grey ____Marine ____Plum |
$ 125.00 | ||
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7) CUSTOM TABLE OPTIONS: |
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| ____Regular Face Hole only $ 52.00 | With Plug $ 64.00 | ||
| ____In Ultra-Leather $ 96.00 | With Plug $118.00 | ||
| ____Crescent Face Hole only $ 90.00 | With Plug $110.00 | ||
| ____In Ultra-Leather $130.00 | With Plug $170.00 | ||
| ____Foot Support ; Add 1.75 lbs. (.79 kg) | $ 62.00 | ||
| ____Foot Support in Ultra-Leather ; Add 1.5 lbs. (.68 kg) | $ 93.00 | ||
| 8) OTHER OPTIONS: | |||
| ____Extra 3/4" Foam ; Add 2 lbs. (.91 kg) | $ 15.00 | ||
| ____Extra FIRM Foam ; Add 2.5 lbs. (1.14 kg) SALE FINAL (Add $5.00 for Cosmos or Quasar model table) | $ 45.00 NET | ||
| ____FIRM Landau Foam ; Add 1 lbs. (.45 kg) SALE FINAL (Add $5.00 for Cosmos or Quasar model table) | $ 55.00 NET | ||
| ____4 MM Baltic Birch Ply ; Add 1.5 lbs. (.68 kg) | $ 20.00 | ||
| ____Maxi
Tilt Head Cradle ; Add 1.5 lbs. (.68 kg) (Includes C 3 P face pillow) Available on Super lightweight Series Only |
$ 105.00 | ||
| ____Full
Adjustable Tilting Head Cradle ; Add 1.5 lbs. (.68 kg) (Includes C 3 P face pillow) |
$ 85.00 | ||
| ____Standard
Non Adjust Head Cradle ; Add 1.5 lbs. (.68 kg) (Includes C 3 P face pillow) |
$ 47.00 | ||
| ____Rubber Feet (in gray only) | $ 15.00 | ||
| ____Other___________________________________________ | |||
| ____________________________________________________ | $ . | ||
| 9)
ACCESSORIES: (click
here to go to accessory page)
Note: All items will be sent in table color unless otherwise noted. |
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| ____Travel Case (For all tables other than Chiroport Series tables.) | $ 85.00 | ||
| ____Knee Cushion / Color: | $ 27.00 | ||
| ____Knee Cushion in Ultra-Leather/ Color: | $ 51.00 | ||
| ____FLUFFY Bolster/ Color: | $ 34.00 | ||
| ____FLUFFY Bolster in Ultra-Leather/ Color: | $ 65.00 | ||
| ____MIT Bolster/ Color: | $ 34.00 | ||
| ____MIT Bolster in Ultra-Leather/ Color: | $ 65.00 | ||
| ____DM Bolster Set / Color: | $ 37.00 | ||
| ____DM Bolster in Ultra-Leather/ Color: | $ 71.00 | ||
| ____Neck Contour Cushion/ Color: | $ 24.00 | ||
| ____Neck Contour Cushion Ultra-Leather / Color: | $ 46.00 | ||
| ____Neck Cushion/ Color: | $ 16.00 | ||
| ____Neck Cushion in Ultra-Leather/ Color: | $ 29.00 | ||
| ____ZB Head Support / Color: | $ 24.00 | ||
| ____ZB Head Support in Ultra-Leather/ Color: | $ 46.00 | ||
| ____Arm Support Extender Set/ Color: | $ 52.00 | ||
| ____Arm Support Extender Set in Ultra-Leather/ Color: | $ 92.00 | ||
| ____Shoulder Support / Color: | $ 22.00 | ||
| ____Shoulder Support Set in Ultra-Leather/ Color: | $ 46.00 | ||
| ____Chest Support Set/ Color: | $ 27.00 | ||
| ____Chest Support Set in Ultra-Leather/ Color: | $ 51.00 | ||
| ____Head Cradle Arm Rest/ Color: | $ 29.00 | ||
| ____Head Cradle Arm Rest Ultra-Leather/ Color: | $ 52.00 | ||
| ____C3P Face Pillow/ Color: | $ 19.00 | ||
| ____C3P Face Pillow in Ultra-Leather/ Color: | $ 38.00 | ||
| ____Face Pillow Covers QTY______ @ $7.00 each | $____.___ | ||
| ____1/2 Dozen (6) Face Pillow Covers @ $ 35.00/ ½ dozen | $____.___ | ||
| ____1 Dozen (12) Face Pillow Covers @ $ 70.00/dozen | $____.___ | ||
| ____Fitted Drawstring Sheet; White only | $28.00 | ||
| ____Flat Sheet; White only | $10.00 | ||
| ____Sheet Set; 1-Fitted and 1-Flat; White only | $35.00 | ||
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SUBTOTAL |
$______._____ | ||
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Special PROMO CODE____________ |
<$ . > | ||
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CA Tax (Call for Rates) |
$______._____ | ||
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SHIPPING (See Shipping Chart) |
$______._____ | ||
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Total due |
$______._____ | ||
| All information
in Blue must be filled in to complete order. For questions, contact us at
800-368-5483, or 831-763-0397, or email
us. Billing Information: Shipping Information: ____Same as Billing address
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| Method
of Payment: CHECK
M.O. VISA MC
DISCOVER AMX MAKE CHECKS PAYABLE TO: ASTRA-LITE INC. * All personal or business checks must have ID number written on check with a physical address and phone number. No starter checks please. |
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| CREDIT CARD #__________-__________-__________-__________ EX. DATE:_______/________ SIGNATURE:_____________________________________ |
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| RETURN POLICY: ALL ITEMS MAY BE RETURNED WITHIN 30 DAYS IN ORIGINAL PACKAGING FOR A FULL REFUND INCLUDING SHIPPING; THIS IS APPLICABLE IN THE CONTINENTAL U.S. ONLY AND IS NOT APPLICABLE ON STUDIO SERIES TABLES. ALL RETURNS MUST BE APPROVED BY ASTRA-LITE PRIOR TO RETURN AND IN LIKE NEW CONDITION. | |||
Updated 7/2006