Light Therapy for Seasonal Affective Disorder (SAD), Winter Depression: Light Boxes and Dawn Simulators Enviro-Med On-Line Order Form

	Enviro-Med 1600 S.E. 141st Ave. Vancouver, WA 98683 800-222-DAWN 800-222-3296 360-256-6989 Made in the USA

Bio-Light from Enviro-Med: Bright Light Therapy Systems for Treatment of Seasonal Affective Disorder (SAD) and Winter Blues

Enviro-Med
1600 S.E. 141st Ave.
Vancouver, WA 98683
800-222-DAWN
800-222-3296
360-256-6989

Made in the USA

Contents:

TO ORDER ONLINE

Use this form to submit order information to Enviro-Med for BIO-LIGHT light therapy systems and accessories. Please feel free to contact us by phone at 800-222-DAWN (800-222-3296) or by E-Mail at BioLight@Bio-Light.com. Our goal is to ship out your order the same or next day.

Orders Outside of US and Canada: Please contact us by email or fax for shipping charges and voltage information

To Order offline: Click here for a text order form (orderfrm.txt) which you may print and use to order via FAX or phone, or edit and send via email. (Use your browser's [Back] button to return to this page when finished.)

If paying by VISA, Mastercard or AMEX, your order will be processed as soon as the amount is authorized. If paying by check or money order, your order will be processed as soon as our bank verifies the funds.

Shipping and Contact Information

Products cannot be shipped to a Post Office Box. Exceptions are rural routes, Alaska, Hawaii and addresses outside USA.

Your Name:		Enter your name as it appears on your credit card or check.
Address:		No P.O. Boxes unless preapproved
City:		(Required)
State:		Select State
Zip Code:		(Required)
E-Mail Address:		This is important.
Phone Number:		(Required) Include extension if applicable.
FAX Number:		(Optional)

Products

ITEM	UNIT PRICE	QTY	NOTES













	DAWN SIMULATORS	Temporarily Out of Stock (Oct 2012)


BOOKS

Merchandise Total			Total for lights, accessories, and books.(Sale prices may not appear here but will be given automatically when charged.)
WA Residents 8.6% Sales Tax			Sales tax if shipped to Washington (state).
Shipping Charges $15 to Oregon and Washington $25 to U.S. 48 states $35 to Alaska & Hawaii $8 for Simulator ($0 with light box) $4 for Book ($0 with light box)			Shipping charge covers one light box and three accessories.
ORDER TOTAL			Total of merchandise, tax (if applicable) and shipping charges.

Payment Information

Paying by:	Check / Money Order VISA / Mastercard/ American Express/ Discover	Select payment method
Credit Card Number:		Enter Credit Card Number
Expiration Month:		Enter 2-digit month as shown on card.
Expiration Year:		Enter 2-digit or 4-digit year as shown on card.
Security Code:		Enter 3 or 4 digit security code

How did you hear about us?

Message:

Optional. Enter additional shipping instructions, questions or comments with your order. This is where you put the"
Ship to" address if it is different than your billing address.

Please make sure that all information is accurate before proceeding.

Pressing the "Submit Order" button will send your order request to Enviro-Med. We will contact you by phone or E-Mail to confirm your order.

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DISCLAIMER: Enviro-Med cannot offer medical advice or recommend which individuals should receive light therapy for seasonal affective disorder, winter blues or other conditions. We advise that light therapy for seasonal affective disorder, winter depression or other conditions be prescribed by a physician or other qualified health care professional and duration and timing supervised by the same. Consult with your physician to rule out any ophthalmological or other conditions that might preclude the use of light therapy. Made in America.