Fax/Mail Order Page
*
 

 
 

HOME | SPECIFICATIONS | CONTACT
*
 

If you would prefer to fax or mail us your order, please fill out this form, print it and fax it completed to 1-386-672-3089 or mail it to: PathLighter, Inc. 105 Riverside Drive, Ormond Beach, FL 32176.

Bill to Information Ship to Information
Your Name
Your Name
Address 1
Address 1
Address 2
Address 2
City
City
/ State / Zip
/ State / Zip
Phone
Shipping Phone
Email Address
Shipping Email
Item Description Quantity
Pathlighter™
lighted Safety Cane
price: $65.00 each

Replacement Lamps
# PA1018 (Not Included)
price: $7.95 / 2 per pack
Available only through Pathlighter
Shipping Total
$8.00 for first cane + $2.00 for each additional cane $2.00 for first lamp + $1.00 for each additional lamp
ORDER TOTAL =
CREDIT CARD USERS PLEASE FILL OUT THIS SECTION
Visa Mastercard Discover American Express
Name on card
 Credit Card Number
4 digit security #
on back of card
 Expiration Date
If paying by check or money order please make payable to:
Pathlighter, Inc.

Payment Terms

  • Payment is due before shipment is made. All funds must be US funds.

  • *Shipping & Handling charges are $8.00 for the first cane within the continental USA. Add $2.00 extra per cane when more than one is ordered. Please call for prices on Next Day, 2nd or 3rd Day Air service. Please contact us for shipping to international destinations.

  • Delivery: 10-14 days

  • FOB: Ormond Beach, FL

www.pathlighter.com

 
PathLighter, Inc. •105 Riverside Drive • Ormond Beach, Florida 32176
US Patents 6463947, 5351704 and DES408126.© Copyright 2002-2006 Pathlighter, Inc. All rights reserved.