Order Now and Save! Print this ORDER FORM. Fax (1-781-235-3252) or Mail Order if you do not want to order on-line. Your choice: Order ON-LINE: (via our secure link) by clicking 'ORDER This ITEM' next to the item you want to purchase (do not forget to check-out) or PRINT and use this ORDER FORM. Call (800) 549-0095 for questions. Name.....:________________________________________________ Address..:________________________________________________ City.....:_____________________________ Phone: ______________ Zip......:__________________State or Country:______________________ Payment by: ___ Check/Money Order enclosed ___ Charge my credit card ___MasterCard ___VISA ___AMEX ___Discover ___Diner's Club |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__| Exp. Date: _________ Signature: _____________________________ Please send me: (We can ship to a different address - please indicate) _____ e-pill 7-Day Organizer & Reminder WORLD's BEST! ($59.95 canvas case, 7 high capacity organizers, electronic reminder _____ e-pill Multi-Alarm Easy-to-Program Pocket Medication Reminder ($39.95 complete w/ soft case & batteries) _____ e-pill Multi-Alarm Pill Box EZ Program Medication Reminder ($49.95 complete w/ batteries) _____ e-pill MEDGlider Organizer & 4 Alarm Reminder complete ($45.95 Reminder w/batteries, 7 organizers and Tray) _____ e-pill MeDose Vibrating 6 Alarm Watch with Leather band ($99.95 Color: __ Black & Silver / black band) _____ e-pill Almeda 6 Alarm Analog (with Face and Hands) Vibrating 6 Alarm Watch with Leather band ($195.00 Color: __ Stainless Steel) _____ e-pill TabTote (ET) Pill Organizer ($24.95) _____ e-pill Med-Time Reminder & Automatic Dispenser complete ($249.95 w/batteries, 2 medication trays lock w/ key (2), prescription card, manual) _____ e-pill Parkinson's Sipping Bottle. Easy to Hold Sipping bottle for better fluid intake ($4.95 / Green) _____ e-pill Kind Remind 12/24 hour Electronic Refrigerator Magnet Reminder($24.95 w/batteries) _____ e-pill Vibrating Count Down Timer. Carry it in your pocket or on your belt. Up to 99 hours ($45.95 w/battery) _____ e-pill Pager Vibrating Multi-Alarm Reminder (12 Alarms). Carry it in your pocket, purse or on your belt. ($75.95 w/batteries and Belt Clip) _____ e-pill MD.2 Monitored Automatic Medication Dispenser complete ($749.95 incl. 60 days free monitoring, complete system incl. cup loading tray) _____ e-pill CADEX Text 12 Alarm Reminder & Medication ID Watch ($59.95 /rubber strap. Color: __ Silver __ Black) _____ Watch Accessory ($9.95): __ Pendant kit __ Blue strap __ Red strap __ Diabetes __ Medical Condition __ Brown strap _____ e-pill Once-A-Day Medication Reminder ($5.95 2 per pack) _____ e-pill PERS Help-At-Hand Model 911 (No Monthly Fees) PERS system (Special $199.00 complete w cord, AC adapter, manual, main unit, 2 pendants w/ batteries) _____ e-pill Cube Pillbox Timer up to 24 daily alarms ($24.95 complete w/ batteries) _____ Mass residents please add 5% sales tax. _____ Shipping and Handling ($5.95, Outside US $15.00/order) _____ ORDER TOTAL .... My Time-Zone: ______ (for FREE set-up) MAIL ORDERS: 70 Walnut Street Wellesley, MA 02481, USA http://www.epill.com Shipping & Handling: $5.95 per order (Outside US $15.00/order) |
Home |
About Us |
Patient Compliance |
Shipping |
ORDER |
FREE Catalog | Privacy ©Copyright e-pill, LLC 2002,03,04,05,06,07 Med-Clock™, MEDClock™, e-pill®, ePill®, CADEX®, HIProtector® are trade and service marks, reach us at http://www.epill.com or http://www.HIProtector.com or (800) 549-0095 or (781) 239-8255. We accept: AMEX, VISA, MasterCard, Discover and Diner's Club. e-pill, LLC | 70 Walnut Street | Wellesley, MA 02481, USA www.epill.com | 1-800-549-0095 | +1 (781) 239-8255 | fax + 1 (781) 235-3252 |