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: $45.00 each

Replacement Lamps
AOPL-RL (Not Included)
price: $7.95 each

Available only through Pathlighter Dealers
Shipping Total
$9.50 for first cane + $2.50 for each additional cane $2.50 for first lamp + $1.50 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 $9.50 for the first cane within the continental USA. Add $2.50 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 2002-2010 Pathlighter, Inc. All rights reserved.