CLIPBOARD PRICES: WITH CALCULATOR: $24.95 25+ ..................$21.95 per clipboard 50+ ..................$19.95 per clipboard WITHOUT CALCULATOR: $21.95 25+ ..................$18.95 per clipboard 50+ ..................$16.95 per clipboard STORAGE TRAY: $9.00 FREE laminated Pediatric Reference Sheet included with every clipboard outlining pediatric outcomes, reflexes and developmental milestones, a $9.00 value. SHIPPING CHARGES: Please add the following amounts to your order for shipping charges: Single Item ..........$5.25 2 Items ....................$4.25 per item 3-10..........................$2.75 per item 11-24 ................$1.25 per item 25+ ....................$0.75 per item Enclosed is $_________________ ❑ Check ❑ VISA ❑ MASTERCARD _____ Anatomy Clipboard(s) with calculator ______ Anatomy Clipboard(s) with standard clip ______ Storage Tray(s) Credit Card #: __________________________________________________________ Exp. Date ____________________________ Ship to: _______________________________________________________________________________________________________ ______________________________________________________________________________________________________________ ______________________________________________________________________________________________________________ School Attending: ____________________________________________________________________________________________ Phone: _______________________________________ Email: _________________________________________________________ Mail order form to Clipboards by Kwik Klip, 2901 Ellsworth Road, Nortonville KS, 66060, or FAX to 954-212-2411 ORDER FORM Prices applicable through December 31, 2009. You may order online, at www.clipboards.org, using a Visa or Mastercard. We also accept checks, money orders, or purchase orders. We normally ship the next business day from receipt of your order. Please allow five business days for delivery of your order. Optional storage tray is $9.00, available for both the standard clip as well as the calculator clipboards. G ET THE J UMP ON Y OUR C LINICALS WITH THE ULTIMATE ANATOMY REFERENCE CLIPBOARD ANATOMY REFERENCE CLIPBOARD INCLUDES: • Calculator with calendar and clock including second hand function • Range of Motion Norms • Manual Muscle Testing Scale • Cutaneous Sensory Distribution • Dermatomes • Myotomes • Glasgow Coma Scale • Rancho Los Amigos Scales • Deep Tendon Reflexes • Documentation guidelines • Accessibility measurements • Definitions for levels of assist: min, mod, etc • Vital Sign Norms • Military Clock • Global Deterioration Scale • Functional Capacity for Arthritis • BMI Guidelines • Cranial Nerves • Pulse Scale • Spinal Cord Injury Function • ASIA Impairment Scale • CVA Effects by Hemisphere • Skin Integrity and Edema Scale QUESTIONS? Contact us at: Clipboards by Kwik Klip Phone: 800-653-7017 Fax: 954-212-2411 E-mail: [email protected] Website: www.clipboards.org