Trowbridge & Associates
BMI Wheel
Online Ordering

Please read:

To order, please fill out the form below.
Clicking on "Send" at the bottom of the form will send your order.
We will confirm your order by phone or E-mail prior to shipping.
An invoice will be sent with the shipment. Payment can be made by check after delivery or by Purchase Order.
If using a Purchase Order

please fax P.O. to:
866-536-9370
Attn: Frederick Trowbridge M.D.

or mail the P.O. to
Trowbridge & Associates
2254 Fairoaks Road, Decatur, GA 30033
For further information
contact Frederick Trowbridge M.D.

e-mail: r.trowbridge@comcast.net
phone: 404.728.0705

Online Order Form

CONTACT PERSON

**Name:

Organization:

Telephone:

Fax:

**Email:

STANDARD LOGO BMI CALCULATORS

"Take Charge of Your Health" logo displayed.
Weight in pounds. Height in inches.
Delivery in 1 - 2 weeks.
Please specify quantity:

METRIC UNIT BMI CALCULATORS

"Metric BMI Wheel " logo displayed.
Weight in kilograms. Height in centimeters.
Delivery in 1 - 2 weeks.
Please specify quantity:

CUSTOM LOGO BMI CALCULATORS

Minimum order of 1000 for custom logo.
Custom logo BMI Calculators may be ordered
in metric or English units.
One-time logo setup fee applies.
Please contact us for details.
Delivery in 6 - 8 weeks.
Please specify quantity:

NOTE to Trowbridge & Associates (optional):

BILLING ADDRESS

Name:

Organization:

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Billing Address Line2:

**Billing City/State/ZIP:

SHIPPING ADDRESS
(if different from Billing Address)

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Shipping City/State/ZIP:

**All asterisked fields are required.

Clicking on "Reset" will clear all of the fields above.

Clicking on "Send" will send your order
as you have entered it above.

Thank you for your interest in
Trowbridge & Associates' BMI Calculators.

Trowbridge & Associates BMI Wheel Online Ordering