Versa-Lift Order Form
We are excited to send you your NEW Versa-Lift!
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Practice Phone Number*
Email (Your invoice will be sent to this address)*
What model are you ordering?*
Model 50705 - $9,392
Model 50701 - $7,611
Model 50703 - $7,228
Please include the instrument tray for $487
Please include the head rest extender for $610
I understand that a 50% deposit is required to complete my order. Please call me for my credit card information.
Send us a message with your order.*
Place My Order