OsunTech Custom Order Form

EMF Detection, Radiation Shield, Pace Alert & Health Care Devices

703-996-3028 | admin@osuntech.com (wholesale)

Select Product (Check Payment Only)

Product Name	Code	Description	Quantity	Unit Price	Sub-Total
	RS0020	Osun Baby-Shield		89.95	$89.95

Buyer Info

Ship To

Bill To
Same as 'Ship To'

First Name *	Address1 *
Last Name *	Address2
Company	City *
Phone Number	State *
Email Address *	Zip Code *

First Name	Address1
Last Name	Address2
Company	City
Phone Number	State
Email Address	Zip Code

Shipping Info

$4.95 - Standard Delivery US Domestic, 3-10 Business days
$8.95 - Expended Delivery US Domestic, 2-5 Business days
$25.00 - Express Delivery US Domestic, 1-2 Business days
$15.00 - Expended Delivery International, 6-15 Business days
$30.00 - Express Delivery International, 5-8 Business days

Payment Method

CheckMoney OrderWest Union

Order Summary


Product:	Baby-Shield RS0020 RS0020 x 1	$89.95
Ship To:

Bill To:	Same as 'Ship To'
Email Address:
Payment Method:	Check
Shipping Method:	$4.95 - Standard Delivery US Domestic, 3-10 Business days	$4.95
Order Total:		$94.90