Order Form

SOTA Instruments Inc.
PO Box 77
Penticton, BC
V2A 6J9
Toll Free: 1.800.224.0242
Telephone: 1.250.770.2023
Fax: 1.250.770.1999
www.sota.com
[email protected]
Order Form
Prices are listed in US Funds
Canadian and International Customers are charged in Canadian Funds
Units
Unit
Accessories for All Models
Model
Qty
US$
Total
Accessories
For Models
Silver Pulser
SP7
Airstone and Tubing
WOZ
Magnetic Pulser
MP6
Arm Band with Clip
SP/BT
Water Ozonator
WOZ5
BT Cotton Sleeves, 3 pair
BT
KSP
Conductive Pads, 3 pair
BT
Bio Tuner
BT8
Ear Clips, 1 pair
BT
LightWorks
LW1
SOTA Protocol Kit
(Includes SP7, MP6 & WOZ5)
LightWorks Hand Paddle Set
Hand Paddle Connection Kit
(Includes telephone t-junction and cord)
HPLW1
LightWorks Kit (Includes LW1 & HPLW1)
SOTA All Products Kit
(Includes SP7, MP6, WOZ5, BT8, LW1 & HPLW1)
SP
KLW
Silver Wires, 1 pair, 8", 14 awg *
SP
KAP
SP Cotton Sleeves with Velcro, 6 pair
SP
SP Cotton Sleeves all Cotton, 6 pair
SP
For Models
Cord Only - Short USB, 14"**
SP
Cord Only - Long USB, 48"**
SP/BT
Cord with Silver Probes - Short USB , 14"
SP
Silver Wire Holder
SP
Qty
US$
Total
Wall Adaptor - Australian Blade
SP/MP
Wall Adaptor - European Blade
WOZ/LW
Wall Adaptor - UK Blade
Wrist Strap, Neoprene
Accessories for Older Models
Accessories
Accessories with DIN Plug
For Models
Cord Only - Short DIN 14"**
SP
Cord Only - Long DIN, 48"**
SP/BT
Silver Wire Holder
SP
Section E Sub Total:
Section B Sub Total:
Accessories
Total
Wall Adaptor - North American Blade
Accessories with USB Plug
Accessories
US$
LW/HPLW
Rubber Probes, 2 pair
Section A Sub Total:
Qty
Qty
US$
Total
For Models
Arm Strap - Clearance
ZHC
Conductive Wrist Straps, 1 pair - Clearance
ZHC
DIN Adaptor
(adapts DIN accessories to Mono Plug
)
Silver Wire Holder - Alligator - DIN Plug -
SP
Clearance
Silver Wire Holder - Mono Plug
Section C Sub Total:
Qty
US$
Total
BT/ZHC/
ZBB
SPL
ZBB
Section F Sub Total:
Educational Materials
Accessories
SOTA Videos & More on USB drive
For Models
Qty
US$
Total
*Metal prices fluctuate. Please call for current pricing.
**Micropulsing Cords require Rubber Probes for proper operation.
All
Section D Sub Total:
Prices Subject to Change
Please see the next page for
Payment and Shipping Information.
Clear
• The SOTA units are consumer products designed for relaxation, well-being and to complement a healthy lifestyle • The SOTA units are not medical devices
nor are they intended to diagnose, treat or cure any medical or health condition • The use, safety or effectiveness of the SOTA units, has not been
approved by any government agency • Please consult a health practitioner for any medical or health condition. • Results using the SOTA Products
will vary for each person. • Please note that all purchases of SOTA Products are deemed to be made in Penticton, BC, Canada •
Page 1 of 2
January 2015
Payment and Shipping Information
Billing Address
Ship To Address
Name:
Name:
Address:
Address:
City:
(Leave Blank if same as Billing Address)
City:
Prov./State:
Prov./State:
Postal/Zip Code
Country:
Postal/Zip Code
Country:
Tel:
Fax:
Tel:
Fax:
Email:
Email:
Payment Information
Order Total
US $ Order Sub Total (Total Sections A - F)
Visa
MasterCard
Canadian $ Sub Total (Please call for current exchange rate)
Card Number:
GST/HST Canadian Residents Only (based on your local rates)
Security Code:**
Expiry Date:
(mm/yyyy)
I authorize SOTA Instruments to charge my Credit Card for this order, including
shipping and any applicable taxes.
Shipping (Please call for shipping rates)
Order Total
Signature:
Any duties, taxes, import fees and licenses are the
responsibility of the receiver.
Date:
** 3 Digit Security Code is located on the back of the card.
Money Order
PayPal
(Please ensure money order is made out to SOTA Instruments)
PayPal Email Address
Please provide your PayPal email so that we can send you a request for funds for your order.
Thank you for your order.
Clear
• The SOTA units are consumer products designed for relaxation, well-being and to complement a healthy lifestyle • The SOTA units are not medical devices
nor are they intended to diagnose, treat or cure any medical or health condition • The use, safety or effectiveness of the SOTA units, has not been
approved by any government agency • Please consult a health practitioner for any medical or health condition. • Results using the SOTA Products
will vary for each person. • Please note that all purchases of SOTA Products are deemed to be made in Penticton, BC, Canada •
January 2015
Page 2 of 2

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