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Included with Max Pulse Device

Max Pulse Device with 5 Year Warranty
Laptop with software preloaded and tested
1 finger probe and all attendant power cords & connection cables
Computer Software Program (Ships with Windows 7, 8 or 10 version. Mac OS available on request)
Training Manual and manufacturer’s User Manual
Research documents on Pulse Wave technology and Heart Rate Variability
Patient education brochures that explain what the test is for
Excellent customer support

Fill out the below form and one of our Sales Representatives will contact you with a price quote and further information.

Company or Practice Name*
Your Name
First Last
Which Sales Representative worked with you or introduced you to the Max Pulse? [Note, pricing is the same with or without a Rep).]*
Shipping Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your device will be shipped to this address by Fed Ex. Please do not use a PO Box.
Email*
Phone*
Cell Phone
Website of your clinic or practice
Pay in Advance or Request Terms*
Preferred Payment Method
- Bankwire
- Check
- Credit Card
- Financing Over Time
We will contact you to arrange payment.No payment information is needed at this time.
Terms and Conditions*
- I have read and accept the Terms and Conditions
Notes
Please make any notes that are specific to your order, including note of any special offer or pricing you may be wishing to take advantage of.