mail-in order form€¦ · sterling silver classic select style and metal classic and premier...
TRANSCRIPT
Calculate Payment Medical ID $ Engraving $ 7.00 Wallet Card Qty. ___ x $2.95 = $
Processing (Credit Card Orders Only) Standard 7-10 Days $ 0.00
Rush Ships Next Business Day $ 12.00
Shipping & Handling (Must Choose One) First-Class Mail $ 7.50 Priority Mail 2-4 Business Days $ 12.75
Texas Residents ONLY State Sales Tax (Add 8.25%) $
Medical IDs Save Lives
TOTAL
OTHER MEDICAL CONDITIONS
MEDICINES TAKEN
ALLERGIC TO
Billing / Shipping Address
NAME
ADDRESS
CITY STATE ZIP
PHONE EMAIL
Please Bill My Credit Card Check/Money Order Enclosed
NAME
CARD NO. EXP. DATE SECURITY CODE
To Be Engraved
ConditionsmDiabetesmHypoglycemiamAngina
mAlzheimer’smHeart PatientmAbnormal EKGmPacemaker
mHemophiliamEpilepsymSeizure DisordermRenal Failure
mAsthmamMultiple SclerosismGlaucomamVision Impaired
Print clearly and attach a separate piece of paper if you require more room. Engraving space is limited, if you need help please give us a call.
Mail-in Order FormMail form with payment to American Medical ID, P.O. Box 925617, Houston, Texas 77292-5617
Male Female Age___ (If Child)
NAME
Shop More Selections at www.Med-ID.comPrices subject to change. Go online for current pricing and products.
$
WB
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There are three members in my familythat wear medical IDs. The informationon all three medical ID bracelets in my family could mean the difference between life and death. While I know they won’t prevent something bad from happening to me or my loved ones it gives peace of mind knowing that the proper professionals would know how to treat any of us in the event of an emergency.
– Eleanor R
RECOMMENDED FOR: DiabetesAllergiesHeart DiseaseBlood ThinnersSeizures
www.Med-ID.com
Go online for more styles and other interchangeable IDs!
Questions? Call 1.800.363.5985
07.2
4.17
m $19.99
m Stainless Steel
m Women $32.99
m Gold Tone
m Men $32.99 m Men $34.99
mRose Gold
m Women $34.99
m Onyx
Flex Select Style
m Brown
m Earth
m Black
m Rustic
m $29.99 m $34.99 m $34.99
Stainless Steel
Stainless Steel
Silicone CollectionsIncludes 9 Interchangeable Band Colors. See sample of each color below.
SleekSelect Style
Bracelets
Leather CollectionsFlex Stainless Steel $29.99Adjustable Bracelet LengthSelect Style
Kids Action $19.99Select Style
Adjustable Bracelet Length
Urban $34.99Select Color
Epic $29.99Select StyleAdjustable Bracelet Length
Eternity $39.99Select Metal
Expansion WristbandSelect Gender and Metal
Select Band Design
Circle Bracelet Length: 7” 8”
Circle Bracelet Length: 6” 7” 8”
Circle Bracelet Length: 7” 8”
Circle Bracelet Length: Measure wrist-add 1/2” to 1” : 7” 8” 9” Other _____
Circle Bracelet Length: Measure wrist-add 1/2” to 1” : 7” 8” 9” Other _____
Circle Bracelet Length: 6” 63/4” 71/2” 81/2”
Select Color m Brown m Black
mVintage Crystal mCanyon Sky mWestern Rose
m Red $32.99
m $29.99
m Embossed
m $64.99
m $49.99
m $54.99 m $79.99
m $69.99m $54.99
m $59.99 m $84.99
m $79.99
m $29.99
m Embossed
m Super Star
m Dolphin
Stainless Steel
Stainless Steel
Dog Tags Stainless Steel $39.99
Stainless Steel
Stainless Steel
Sterling Silver 10Kt Gold-Filled
Sterling Silver
Sterling Silver
Rose Gold
Rose Gold
Sterling Silver
Gold Tone
10Kt Gold-Filled
10Kt Gold-Filled
Onyx
Onyx
10Kt Gold-Filled
mRed $42.99
m Red Outline $32.99
m Large $29.99
m Large Embossed
m Red $72.99
m $54.99
m Red
m $39.99
m Red Outline
m Choo Choo
m Floral Butterfly
m Red $82.99
m Embossed $62.99
mLarge $39.99
m Large Red Outline
mEmbossed $72.99
m Red $89.99
m $89.99
m $39.99
m Red
m Dinosaur
mRed $99.99
m Embossed $79.99
m Large $39.99
m Large Red
m Embossed $89.99
mReflection mHarmony mMontana Black
m$74.99m$84.99m$84.99m$84.99
MingleSelect Emblem ColorSterling Silver
ClassicSelect Style and Metal
Classic and PremierSelect Style and Metal
Necklaces
Expandable Wallet Card
PremierSelect Style and Metal
PendantsSelect Style and Metal
0 in 1
1.5 .5
2
2.5
3
3.5
4
4.5
5
5.5
6
6.5
7
7.5
8
8.5
9
9.5
10
10.5
An ideal place for details that may change or do not fit on your medical ID.
m $2.95
m $39.99
All necklaces are 24” in length
m $79.99
m $99.99m $74.99
m $26.99