TeleEMG Online Store Fax Order Form

65 Arlington Road, Woburn, MA 01801, USA
Tel: (617) 840-3253 – Fax: (781) 937-3081 - Email: info@teleemg.com

Print, Fill and FAX to: 781-937-3081

All Prices include Priority USPS Shipping and Handling. FedEx shipping is extra. Delivery can only be guaranteed when shipping by FedEx.

Ship by USPS - Priority Mail (Free)
Ship by FedEx - US Orders Only (Add $40)
Ship by FedEx - International Orders Only (Add $100)

Select a product from the list below:
The Nerve Conductions Course: $462 (Save $88)
The Nerve Conductions Course - Light: $224
The Needle Examination Course: $1134.00 (Save $171)
The Needle Examination Course - Light: $422.00 
The Integrated EMG and NCS Course: Price: $1484.00 (Save $347)
The Integrated EMG and NCS Course - Light: Price: $642
EMG Manual: ($24)
EMG Training CD: ($246)
Sensory Conductions & EMG Manual: ($342)
Atlas of EMG Waveforms - DVDs: ($698)
Needle Exam Anatomy: ($172)
Chemodenervation & Neck and Head Muscles Anatomy: ($422)

Please Note: TeleEMG.com does not accept credit cards as a method of payment outside of the U.S. & Canada. Please email us to info@teleemg.com for payment methods outside the US and Canada

Credit Card Holder Information:

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Address: ________________________________________________________

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