Online Order Form

Debmar Distributing Inc., Brampton, Ontario L6Z 2V9 Tel: 905 846-4528

If you wish to order online simply fill out the secure order form below.

 

BILL TO:

Name:

Address:

City:

Province/State:

Postal/ Zip Code:

Phone # with Area Code:

Email Address:

SHIP TO (if different than Bill To):

Name:

Address:

City:

Province/State:

Postal/ Zip Code:

Phone # with Area Code:

METHOD OF PAYMENT

Credit Card Number Expiry Date

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.
See Shipping Rates and Taxes for Canadian Residents Below.

Electronic Muscle Stimulators
  Model No. Description Price Quantity

TM3004 4 + 4 Pad EMS/TENS Unit $199.99  $179.99

  DT2012 12 + 4 Pad EMS/TENS Unit/ Digital Display $499.99
  2525 Universal AC Adaptor $9.95
  555 Conductivity Gel $5.00
  RE-40 Replacement EMS Disposable Electrodes (Pack of 40) $49.95

                  Shipping and Handling  for TM3004 and DT2012 - $19.95     Shipping and Handling for Accessories is $9.95

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.
See Shipping Rates and Taxes for Canadian Residents Below.

Transcutaneous Electrical Nerve Stimulation
  Model No. Description Price Quantity
Special TX3-T Dual Channel Portable Tens Stimulator (with timer) $199.00 $179.00
Special TX3 Dual Channel Portable Tens (no timer) $189.00 $159.00
Special TS-1211 Digital Tens Unit $190.00 $175.00
  MC300 Micro Current TENS $199.00
  IF-4000 Interferential Stimulator $450.00
  PGS-123 Pulsed Galvanic Stimulator $450.00
  RC-2500 9 Volt Recharger Set (Charger & 2 rechargeable 9 Volt Batteries) $39.95
  RE-40 Replacement TENS Disposable Electrodes (Pack of 40) $49.95
  2538 Large (6") Butterfly Electrodes (1 per pack) $12.95
  2534 2" Round Electrodes (4 per pack) $9.95
  2533 3" Round Electrodes (4 per pack) $12.95
  2535 1.6" Square Electrodes (4 per pack) $9.95
  2536 1.5" x 3" Electrodes (4 per pack) $9.95
  2524 1.5" x 1.5" Square Rubber Electrodes (4 per pack) $12.95
NEW US 1000 Portable Ultrasound $349.95 $199.95
NEW 36-1200-25 Ultrasound Gel 250ml $8.95
NEW 36-1200-25-12 Ultrasound Gel 250ml  x case of 12 $7.16 ea   $ 85.92/case
NEW MM125 Muscle Mist 125 ml $19.95 ea 
NEW MM125x3 Muscle Mist 125 ml $16.95 ea  x 3 minimum
NEW OG425 Orthogel Jar 4oz $16.95 ea
NEW OGR325 Orthogel Roll on  3oz $16.95 ea
NEW OG1625 Orthogel Pump  16oz $34.95

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.
See Shipping Rates and Taxes for Canadian Residents Below.

Magnetic Field
Please Call 1-800-265-3354 for additional information and to order this line of products.

 

Facial Flex
  Model No. Description Price Quantity
Special FLEX5252 Facial Flex Ultra $69.00 $59.99
  FLEX9393 Facial Flex Advanced Renewal Complex (1 oz.) $29.95
  FLEX0006 6 oz. Flex Bands Replacement Elastic Bands $6.00
  FLEX0008 8 oz. Flex Bands Replacement Elastic Bands $7.00
  FLEX0014 14 oz. Flex Bands Replacement Elastic Bands $8.00

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.
See Shipping Rates and Taxes for Canadian Residents Below.

Daylight Systems
  Model No. Description Price Quantity
Special DL 930 Day-Light $299.95  $199.99
 
  RB-10 Replacement Bulbs Call for Pricing

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.
See Shipping Rates and Taxes for Canadian Residents Below.

UPlift Seat Assist
  Model No. Description Price Quantity
  MED UL 100 UPlift Seat Assist (80 to 230 lbs) with memory foam
& waterproof cover
$199.95
  MED UL 300 UPlift Seat Assist (200 to 350 lbs) with memory foam
& waterproof cover
$199.95
  UPE 1 UPeasy Lifting cushion (95 to 220 lbs) $129.95
  UPE 3 UPeasy Lifting cushion (200 -340 lbs) $129.95
  UPL-P100 UPEasy Power lift cushion $159.95
  UPS -100 UPlift Power Seat $289.95
  ULC 100 UPlift Commode Assist (80 to 350 lbs) $299.95
  RD02 Risedale  Wing Chair  Colour Cabernet $599.95
  RD02 Risedale  Wing Chair  Colour Midnight $599.95
  RD02 Risedale  Wing Chair  Colour  Spruce $599.95
  RD02 Risedale  Wing Chair  Colour  Sand $599.95
  OT02 Risedale Ottoman   Colour  Cabernet $139.95
  OT02 Risedale Ottoman   Colour  Midnight $139.95
  OT02 Risedale Ottoman   Colour   Spruce $139.95
  OT02 Risedale Ottoman   Colour   Sand $139.95

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.
See Shipping Rates and Taxes for Canadian Residents Below.

Terry Cloth Robe and Slippers
  Model No. Description Price Quantity
          1 800 265-3354  
NEW QR225 Queen Robe and Matching Slippers $39.99  $14.99
NEW PR225 Princess Robe and Matching Slippers $39.99  $14.99
NEW KR225 King  Robe and Matching Slippers $39.99  $14.99

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.
See Shipping Rates and Taxes for Canadian Residents Below.

C-Pool Mineral Treatment
Please Call 1-800-265-3354 for additional information, pricing and  to order this line of products.

TAXES / SHIPPING AND HANDLING ARE NOT INCLUDED IN ABOVE PRICING.
See Shipping Rates and Taxes for Canadian Residents Below.

Sub-Total: $

SHIPPING RATES FOR NORTH AMERICA

For All Electronic Muscle Stimulator, Transcutaneous Electrical Nerve Stimulation,
Daylight System, Portable Ultrasound,or UPlift Seat Assist units:

Expedited Post  (7-10 Business Days)..............$19.95
Express Shipments(1-3 Business Days)..............................Call  1 800 265-3354
Next Day Delivery........................................Call 1-800-265-3354 or E-Mail sales@debmar.com for Rate

Risedale Wing Chairs or Ottomans
 (7-10 Business Days)..............Call for pricing
Order 2 or more Wing Chairs - Free Delivery (within Canada only)

For Ultrasound Gel, Muscle Mist, Orthogel 4oz Tube or 3oz Roll On, Universal Adaptor :
Expedited Post  (7-10 Business Days)..............$9.95

Terry Robe and Matching Slippers:
Expedited Post (7-10 Business Days)..............$12.95

For  Facial Flex Ultra:
Postal Shipments (7-10 Business Days)..............$9.95

For All Facial Flex Flex Bands (replacement elastic bands):
Postal Shipments (7-10 Business Days)..............$1.00

For All Electrodes (except RE-40):
Postal Shipments (7-10 Business Days)..............$4.00

For All  RE-40):
Postal Shipments (7-10 Business Days)..............$9.95

For All Other Products on the Order Form:
Ground Shipments (7-10 Business Days)..............$8.00

SHIPPING RATES OUTSIDE NORTH AMERICA

Please Call 1-905 846-4528 or E-Mail sales@debmar.com for Rate

Shipping: $ See Shipping Rates Above

Taxes for Canada

Ontario residents please add 8% PST & 5% GST
Newfoundland, Nova Scotia & New Brunswick residents please add 13% HST/GST
All other Canadian residents please add 5% GST
All Shipping within Canada please add  5% GST
 

PST if applicable: $ GST if applicable: $ HST if applicable: $ Canadian Residents Only

 

Order Total: $

THANK YOU FOR YOUR ORDER.