Adjustable breathing

Information and Order Form

Of an external

Chest exercise machine

Mai 2015

Stefan Kühnst

Dorfstraße 53

D-06217 Merseburg/Meuschau

Germany

Tel./Fax: +49(0)3461217024

E-Mail: stefankuehnst@hotmail.com

Order from of external chest exercise machine date……………………….

Child’s Name..Matvey Shpunt...................... Tel.: .+7 911 264 2052.........................

Date of Birth..1 February 2003..................... Fax.: ....................................………….

Email: ksenia.spunt@gmail.com.

Sex: male female Date of your next visit in the institut

It is very important to give this date!

November 2015

………………………………………..

A) Vest

Each vest will be fitted to the measurements of your child. Please provide exact measurements. Write down the measurements on the included page. The vest is adjustable by one size, thereby guaranteeing, that it will fit your child longer.

A) control box

The control box works between 80 and 240 volt. The controlbox does regulation the voltage self, which you need for your country. The device with serial-number 7002038

Type AH3 is CE-conform.

C) Compressor

The compressor works very quiet and is very small (weight; 4, 8 kg, size 0, 20 x 0, 15 x 0,15). The compressor works very good with the vest and control box together it is very comfortable for the children’s to sleeping in the night. .

□ 220 Volt 50 Hz □ 110 Volt 60 Hz

Number price Description of

of pieces intern

adjustable breathing

……… vest

control box 1,

control box 2,

air hoses, valves and bladders

Summe: 2490,- Euro and …-……..cost for wrapping and shipping

Shipping-information:

The cost for shipping, you get it after you have sent me the order form back.

Terms of payment:

-The full amount due must be paid before delivery. Please take into consideration

that the machine must be paid for in advance.

-Please notice, the produce of your device beginning after arrival your money-transfer.

The delivery time will be 3 - 4 weeks!!!

-Please make the money-transfer only in Euro. You get all information about this by your

bank-office. Please include the name of your child with the remittance. It is very important!!

-As soon arrival your money-transfer, you get a confirmation about this and the

exactly delivery date.

Please notice:

Date: 2016-03-03; view: 436