RxMS Trial Offer - Type your information in the fields in your browser window, print, sign and fax to (603) 666-0509.


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I agree to the terms and conditions of this offer as outlined below:

Signature Date

Terms and Conditions: Net is 10 days (after equipment shipment). AC Adapters may be extra. Equipment calibrations included. Monitoring system is valued at $32,995.00 and must be returned in good condition within 10 days of shipment. User is responsible for all equipment while in possession of it as well as while in transit. All shipping costs the responsibility of the users. Return shipment must be via Federal Express (account number supplied). One Report per customer will be faxed or mailed. Only the portion of the report can be refunded. Costs for shipping and equipment lease portion is non-refundable. Report satisfaction guaranteed or your money back.