ORDER FORM
Assistive Technology Services
“Helping You Live Independently”
8023 Franklin Road
Murfreesboro TN 37128
Phone: (615) 562-0043
Billing Address
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Address
City State
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Ship To Address
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Address
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Touch N’ Talk II DECT Pro System with
1 Pendant
Extra Touch N’ Talk DECT Pendant
Emergency Wall Communicator for
Touch N’ Talk II Pro DECT System
Touch N’ Talk II Pro Lifetime
Replacement Warranty
Only applicable if shipping to Tennessee
*Prices are subject to change without notice
If paying by check - make checks payable to: Assistive Technology Services
“May You Know The Glory Of God And May He Bless You”
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