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SenseWear® Product Order Form

Please submit this form to order SenseWear® products, accessories, and marketing materials

An email will be sent confirming your order. 
Thank you, your business is appreciated!

Company Name:

HII Customer Number:

#HII103 SenseWear® Package                Quantity:

#HII692 SenseWear® Unit                       Quantity:

#HII541 SenseWear® Display Unit          Quantity:

#HII551 SenseWear® Wireless Comm.   Quantity:

#HII411 SenseWear® Strap Sm.             Quantity:

#HII511 SenseWear® Strap Md.             Quantity:

#HII611 SenseWear® Strap Lg.              Quantity:

#HII872 SenseWear® USB Cable            Quantity:

#HIIMK1 SenseWear® Poster                  Quantity:

#HIIMK2 SenseWear® Brochure             Quantity:

#HIIMK3 SenseWear® Table Tent           Quantity:

Purchaser Email Address:

Company Purchase Order Number: 

Thank you for submitting your order.  Expected delivery time frame is two weeks.  An Email confirmation will be sent to the Purchaser Email Address listed above.