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C01 Cardiac Rehab Poster – Specifically designed for the 2018 celebration. Adds an attractive dimension to your department. 18" x 24" $4.99

C02 Cardiac Mylar Balloon – Add a festive look to your department! 18" self-seal Mylar® balloon. (Helium required) $3.49

C03 New! Cardiac Sport Bottle – This large 26 oz., translucent sport bottle features a convenient flip-top lid and is BPA free.1-24 $3.09, 25-49 $2.99, 50-99 $2.89, 100+ $2.69

C04 New! Cardiac Vortex Tumbler – This 16 oz. tumbler is great for both hot and cold beverages. It has a double-wall acrylic body with a push-on thumb slide lid that is perfect for hot beverages. Insert the polypropylene straw with stopper for your cold beverages. BPA free.1-24 $9.25, 25-49 $8.99, 50-99 $8.49, 100+ $7.99

C05 Top Seller! Cardiac Click Pen – This single colorful click pen with a wraparound imprint will catch your eye and is easy on your wallet. Black ink. $0.95 each, Pkg/25 $22.49

C06 Top Seller! Cardiac Mop Top Stylus Pen/Screen Cleaner – Our smiley pen provides excellent writing characteristics and when the pen is retracted, the rubber stylus can be used on any touchscreen device. It also has microfiber hair that can be used as a screen cleaner. Black ink. 6.25″1-24 $2.49, 25-49 $2.39, 50+ $2.29

C07 Top Seller! Good For You Recipe Book – 36 page cookbook with great low fat recipes, each containing nutritional analysis information. 5.5” x 8.5”1-24 $2.49, 25-49 $2.39, 50+ $2.29

C08 Healthy Heart Pocket Slider – Interactive sliding guide with special sections on eating right, foods to avoid, heart attack warning signs, CPR, exercise and healthy living. There are many factors that affect your heart. Tak-ing the small measures mentioned in this slide guide will greatly improve your overall well-being. Fits in a regular sized envelope.1-24 $1.29, 25-49 $1.25, 50-99 $1.15, 100+ $1.05

C09 New! Controlling Your Cholesterol Pocket Slider – High cholesterol is a leading risk factor for coronary heart disease and stroke. Keep track of the important factors that influence your cholesterol level with this slide chart. This reference guide is filled with valuable information and tips on eating right, foods to avoid, good and bad cholesterol and significant risk factors.1-24 $1.29, 25-49 $1.25, 50-99 $1.15, 100+ $1.05

C10 Cardiac Gift Set – This gift set includes the Cardiac Herb Garden, Cardiac Mop Top Stylus Pen/Screen Cleaner and the Cardiac Portable Hand Sanitizer. All these items arrive in the non-woven drawstring gift bag at a reduced price. $13.49

C11 Cardiac Value Kit - Value Kit includes one of each of the following: Cardiac Vortex Tumbler, Cardiac Sport Bottle, Cardiac Mop Top Stylus Pen/Screen Cleaner, Cardiac Deluxe Shopper Tote, Cardiac Non-Woven Lunch Cooler, Cardiac Non-Woven Sports Pack, Cardiac Rally Workout Towel, Cardiac Portable Hand Sanitizer, Cardiac Tag Along Key Chain and the Cardiac Herb Garden.Total Value is more than $43; as the kit you pay only $38.99!

2018 CardiacRehabilitationWeek February 11-17Show support for your profession, patients, staff, colleagues, and friends with gifts from the American Association of Cardiovascular and Pulmonary Rehabilitation.

Drinkware

Special Offers

Take Note

Custom Artwork/Imprinting —Need Personalization? We will incorporate your facility name, logo, or your own special artwork (minimum quantities required), see details on page 7.

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**Any shirt can have your personalized logo added on the back of the shirt with a minimum order of 36 pieces and just $2.50 extra per shirt. Please contact service@jimcolemanltd.com for further details.

C12 Cardiac Unisex Tee – 50/50 cotton/polyester preshrunk tee features the 2018 Cardiac Rehab logo.Turquoise heather.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $9.99, 25-49 $9.49, 50-99 $8.99, 100+ $7.99

C13 Cardiac Long Sleeve Unisex Tee – 100% preshrunk cotton shirt features the 2018 Cardiac Rehab logo against the neutral sport grey shirt.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $14.99, 25-49 $14.49, 50-99 $13.99, 100+ $12.99

C14 Cardiac Ladies Tee – 5.3 oz. 50/50 cotton/polyester neon green, preshrunk cotton T-shirt comes with seamless double needle feminine ½" rib mid-scoop neck, cap sleeves and side seams in a slightly tapered missy fit. S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $9.99, 25-49 $9.49, 50-99 $8.99, 100+ $7.99

C15 New! Cardiac Rehab TEAM Unisex Baseball Tee – 90/10 preshrunk cotton/polyester with contrast three-quarter length raglan sleeves and neck trim. Grey with navy blue.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $15.99, 25-49 $14.99, 50+ $13.99

C16 Cardiac Hooded Unisex Sweatshirt – NuBlend® 8.0 oz., pill-resistant fleece in 50/50 cotton/polyester with a seamless body, set-in sleeves, double-needle stitching at stress points, two-ply hood with grommets and drawstring, and a front pouch pocket. Charcoal with the 2018 Cardiac Rehab logo.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $29.99, 25-49 $28.99, 50-99 $27.99, 100+ $26.99

C17 Cardiac Rehab Staff Ladies Polo – Breathable fabric, wicking finish, UV protection, snag-resistant, five-button placket, shaped seams, embroidered logo. White. S, M, L, XL, XXL, XXXL 1-11 $29.99, 12-24 $28.99, 25+ $27.99

C18 Cardiac Rehab Staff Mens Polo – Breathable fabric, wicking finish, UV protection, snag-resistant, five-button placket and embroidered logo. Royal blue. S, M, L, XL, XXL, XXXL1-11 $29.99, 12-24 $28.99, 25+ $27.99

C19 Cardiac Rehab Staff Unisex Tee – 35/65 preshrunk cotton/polyester tee features the Cardiac Rehab Staff logo. Heather indigo.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $9.99, 25-49 $9.49, 50-99 $8.99, 100+ $7.99

C20 Cardiac Rehab Staff Mens Softshell Jacket – Waterproof, breathable three-layer construction, ergonomic sleeves and articulated elbows for a superior fit. Polyester brushed tricot upper storm flap, easy grip zipper pull and adjust-able cuff tabs with Velcro® closure. Olympic blue.S, M, L, XL, XXL, XXXL 1-11 $49.99, 12+ $45.95

C21 Cardiac Rehab Staff Ladies Softshell Jacket – Wa-terproof, breathable three-layer construction, ergonomic sleeves and articulated elbows for a superior fit. Polyester brushed tricot upper storm flap, easy grip zipper pull and adjustable cuff tabs with Velcro® closure. Olympic blue.S, M, L, XL, XXL, XXXL1-11 $49.99, 12+ $45.95

C22 Cardiac Rehab Staff ID Holder – Retractable chrome badge holder with a 40" heavy-duty anti-twist nylon cord, durable vinyl strap, and a stainless steel 360 degree swivel alligator clip back. Tested to 150,000 retractions. 1 ½" x 3 ½" x 0.38"1-24 $3.99, 25-49 $3.79, 50-99 $3.59, 100+ $3.39

C23 New! Special Pricing! Cardiac Rehab Staff Vacuum Tumbler – 20 oz., double-wall construction, stainless steel exterior and liner, vacuum insulated, press-on lid, slide closure. Keeps drinks hot for 5 hours and cold for 15 hours. Others sell for double the price. Hand wash only. $14.99

Visit us and order online at www.aacvpr.org/crprweeks. See page 7 for ordering details.

Wearables

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C24 New! Cardiac Deluxe Shopper Tote – This light-weight, 80 gram non-woven grocery tote features a large, open main compartment, open-front pocket with Velcro® closure and double 22" handles. 13" x 20” x 8" 1-24 $2.99, 25-49 $2.79, 50-99 $2.59, 100+ $2.29

C25 New! Cardiac Non-Woven Lunch Cooler – This budget friendly cooler is perfect to pack a healthy lunch. It is made of lightweight, non-woven, coated water-resistant polypropylene with foil laminated PE foam insulation. It features a zippered main compartment, large front pocket, ID holder and 21" handles. Spot clean/air dry. 8" x 9" x 6" 1-24 $4.99, 25-49 $4.79, 50-99 $4.59, 100+ $4.29

C26 New! Cardiac Non-Woven Sports Pack – This budget friendly sports pack is made from 80 gram non-woven, water-resistant polypropylene and features a drawstring closure, a mesh triangle accent and an eyelet attachment for keys and more. 14" x 18"1-49 $3.75, 50-99 $3.49, 100-149 $3.25, 150+ $2.99

C27 Gift Bag – Include this gift bag for the perfect finishing touch. This non-woven, drawstring gift bag will hold your gifts and demonstrate your appreciation to those around you. 9.75" x 11" x 3"1-24 $1.59, 25+ $1.53

C28 Top Seller! Cardiac Rally Workout Towel – Rally your way to good health while using this handy towel. It is made of 100% cotton terry and measures 15 ½" x 13 ¼". Wash separately in cold water.1-24 $2.99, 25-49 $2.89, 50-99 $2.59, 100+ $2.29

C29 New! Cardiac Portable Hand Sanitizer – Clean hands save lives! When soap and water are not available, keep germs away with this lightly scented hand sanitizer. It has a 62% ethyl alcohol content that is effective at eliminating over 99.9% of germs and bacteria and meets FDA requirements. The adjustable loop attachment lets you attach it to bags, purses, belt loops, etc. 1 oz.1-49 $2.79, 50-99 $2.59, 100-249 $2.39, 250+ $2.19

C30 Top Seller! Cardiac Tag Along Key Chain – Handy key chain features a bottle opener, an LED light, a 39" tape measure and a convenient split key ring.1-24 $2.99, 25-49 $2.89, 50-99 $2.69, 100+ $2.39

C31 Top Seller! Cardiac Easy Read Pedometer – Keeping track of your healthy lifestyle has never been easier than with this Easy Read Large Screen Pedom-eter! It features an oversized LCD display, single button operation and an energy saving shut-off and idle mode. Attach it to your clothing with the secure spring clip and count up to 99,999 step! The replaceable button cell bat-tery is included. 2 ⅞" x 1 ⅝" x 1 ⅛"1-24 $6.99, 25-49 $6.89, 50-99 $6.59, 100+ $6.49

C32 Cardiac Pill Case – Seven day pill case hold’s a week worth of pills. Each day of the week features a raised storage compartment design with Braille writing as well. 6 ⅛" x 1 ¼" x 1"1-24 $1.79, 25-49 $1.69, 50-99 $1.59, 100+ $1.49

C33 New! Cardiac Herb Garden – Add fresh flavor to your healthy cooking! Made of reclaimed organic materi-als, this set includes three biodegradable natural color planters, three compressed soil wafers and three seed packets; including Parsley, Basil and Chive. 1-24 $7.99, 25-49 $7.49, 50-99 $6.99, 100+ $6.49

Program MerchandisePromote your Cardiac or Pulmonary Program!We do have many other items that we can person-alize with your facility name and logo. These items do have minimum quantity requirements. There is a $50 one-time setup charge. The Cardiac/ Pulmonary Rehab Week line can be removed, if desired. Designs from prior years are available as well. Please call 847-963-8100 for details.

Custom Artwork/Imprinting —Need Personalization? We will incorporate your facility name, logo, or your own special artwork (minimum quantities required), see details on page 7.

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P01 Pulmonary Poster – Specifically designed for the 2018 celebration. Adds an attractive dimension to your department. 18” x 24” $4.99

P02 Pulmonary Mylar Balloon – 18" self-seal Mylar® balloon. (Helium required) $3.49

P03 Pulmonary Unisex Tee – 50/50 cotton/polyester preshrunk tee features the 2018 Pulmonary Rehab logo. Neutral athletic heather.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $9.99, 25-49 $9.49, 50-99 $8.99, 100+ $7.99

P04 Pulmonary Long Sleeve Unisex Tee – 100% preshrunk cotton shirt features the 2018 Pulmonary Rehab logo against the Pacific blue shirt.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $14.99, 25-49 $14.49, 50-99 $13.99, 100+ $12.99

P05 Pulmonary Ladies Tee – 4.5 oz., preshrunk 100% ring-spun cotton SoftStyle tee with seamless double-needle stitched neckline, bottom hem and sleeves. Light blue.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL) 1-24 $9.99, 25-49 $9.49, 50-99 $8.99, 100+ $7.99

P06 New! Pulmonary Rehab TEAM Unisex Baseball Tee – 100% preshrunk cotton/polyester. White with royal blue.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $15.99, 25-49 $14.99, 50+ $13.99

P07 Pulmonary Hooded Sweatshirt – NuBlend® 8.0 oz., pill-resistant fleece in 50/50 cotton/polyester with a seamless body, set-in sleeves, double-needle stitching at stress points, two-ply hood with grommets and drawstring, front pouch pocket. Neutral Ash Gray with the 2018 Pulmonary Rehab logo.S, M, L, XL, XXL (add $3 for each XXL), XXXL (add $5 for each XXXL)1-24 $29.99, 25-49 $28.99, 50-99 $27.99, 100+ $26.99

P08 Pulmonary Rehab Staff Ladies Softshell Jacket – Waterproof, breathable three-layer construction, ergonomic sleeves and articulated elbows for a superior fit. Polyester brushed tricot upper storm flap, easy grip zipper pull and adjustable cuff tabs with Velcro® closure. Royal blue.S, M, L, XL, XXL, XXXL1-11 $49.99, 12+ $45.95

P09 Pulmonary Rehab Staff Mens Softshell Jacket – Waterproof, breathable three-layer construction, ergonomic sleeves and articulated elbows for a superior fit. Polyester brushed tricot upper storm flap, easy grip zipper pull and adjustable cuff tabs with Velcro® closure. Royal blue.S, M, L, XL, XXL, XXXL1-11 $49.99, 12+ $45.95

P10 Pulmonary Rehab Staff ID Holder – Retractable chrome badge holder with a 40" heavy-duty anti-twist nylon cord, durable vinyl strap, and a stainless steel 360 degree swivel alligator clip back. Tested to 150,000 retractions. 1 ¾" x 3 ½" x .40" 1-24 $3.99, 25-49 $3.79, 50-99 $3.59, 100+ $3.39

P11 New! Special Pricing! Pulmonary Rehab Staff Vacuum Tumbler – 20 oz., double-wall construction, stainless steel exterior and liner, vacuum insulated, press-on lid, slide closure. Keeps drinks hot for 5 hours and cold for 15 hours. Others sell for double the price. Hand wash only. $14.99

Visit us and order online at www.aacvpr.org/crprweeks. See page 7 for ordering details.

2018PulmonaryRehabilitationWeek March 11-17Show support for your profession, patients, staff, colleagues, and friends with gifts from the American Association of Cardiovascular and Pulmonary Rehabilitation.

Wearables

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P12 New! Pulmonary Deluxe Shopper Tote – This lightweight, 80 gram non-woven grocery tote features a large, open main compartment, open-front pocket with Velcro® closure and double 22" handles. 13" x 20" x 8" 1-24 $2.99, 25-49 $2.79, 50-99 $2.59, 100+ $2.29

P13 New! Pulmonary Non-Woven Lunch Cooler – Lightweight, non-woven, coated water-resistant polypropylene with foil laminated PE foam insulation and a zippered main compartment, large front pocket, ID holder and 21" handles. Spot clean/air dry. 8" x 9" x 6" 1-24 $4.99, 25-49 $4.79, 50-99 $4.59, 100+ $4.29

P14 New! Pulmonary Non-Woven Sports Pack – 80 gram non-woven, water-resistant polypropylene with a drawstring closure, a mesh triangle accent and an eyelet attachment for keys and more. 14" x 18"1-49 $3.75, 50-99 $3.49, 100-149 $3.25, 150+ $2.99

P15 New! Pulmonary Sport Bottle – 26 oz., translucent sport bottle features a convenient flip-top lid and is BPA free.1-24 $3.09, 25-49 $2.99, 50-99 $2.89, 100+ $2.69

P16 New! Pulmonary Vortex Tumbler – 16 oz. tumbler has a double-wall acrylic body, push-on thumb slide lid for hot and cold beverages. Polypropylene straw with stopper for cold beverages. BPA free.1-24 $9.25, 25-49 $8.99, 50-99 $8.49, 100+ $7.99

P17 Top Seller! Pulmonary Mop Top Stylus Pen/Screen Cleaner – Rubber stylus can be used on any touchscreen device when pen is retracted. Microfiber hair screen cleaner. Black ink. 6 ¼″1-24 $2.49, 25-49 $2.39, 50+ $2.29

P18 Pulmonary Click Pen – This colorful click pen with a wraparound imprint will catch your eye and is easy on your wallet. Black ink. $0.95 each, Pkg/25 $22.49

P19 Top Seller! Pulmonary Easy Read Pedometer – Keeping track of your healthy lifestyle has never been easier than with this Easy Read Large Screen Pedometer! It features an oversized LCD display, single button operation and an energy saving shut-off and idle mode. Attach it to your clothing with the secure spring clip and count up to 99,999 step! The replaceable button cell battery is included. 2 ⅞" x 1 ⅝" x 1 ⅛"1-24 $6.99, 25-49 $6.89, 50-99 $6.59, 100+ $6.49

P20 New! Pulmonary Herb Garden – Add fresh flavor to your healthy cooking! Made of reclaimed organic materials, this set includes three biodegradable natural color planters, three compressed soil wafers and three seed packets; including Parsley, Basil and Chive. 1-24 $7.99, 25-49 $7.49, 50-99 $6.99, 100+ $6.49

P21 New! Pulmonary Portable Hand Sanitizer – Clean hands save lives! When soap and water are not available, keep germs away with this lightly scented hand sanitizer. It has a 62% ethyl alcohol content that is effective at eliminating over 99.9% of germs and bacteria and meets FDA requirements. The adjustable loop attachment lets you attach it to bags, purses, belt loops, etc. 1 oz.1-49 $2.79, 50-99 $2.59, 100-249 $2.39, 250+ $2.19

P22 Top Seller! Pulmonary Tag Along Key Chain – Handy key chain features a bottle opener, an LED light, a 39" tape measure and a convenient split key ring.1-24 $2.99, 25-49 $2.89, 50-99 $2.69, 100+ $2.39

P23 Pulmonary Gift Set – Get a perfect ready-made gift for the special people around you! This gift set includes the Pulmonary Herb Garden, Pulmonary Mop Top Stylus Pen/Screen Cleaner and the Pulmonary Portable Hand Sanitizer. All these items arrive in the non-woven drawstring gift bag at a reduced price.$13.49

Custom Artwork/Imprinting —Need Personalization? We will incorporate your facility name, logo, or your own special artwork (minimum quantities required), see details on page 7.

Gift Set

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Subtotal _________10% Tax (IL only) _________

Shipping/Handling† _________ Total _________

Ship to: (Please print clearly) Home Facility

Name _______________________________Institution ____________________________ Address _____________________________City ______________ State ____ ZIP ________Daytime Phone (_____)_________________ Fax (_____)__________________________E-mail _______________________________ (order and shipping confirmation will be emailed)

PriceItem #

Item #

Item Name (Please Print Clearly) Quantity Total

Price Total

S_________ M_________ L _________C13 Cardiac Long Sleeve Tee

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.) S_________ M_________ L _________C14 Cardiac Ladies Tee

S_________ M_________ L _________C16 Cardiac Hooded Sweatshirt

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)

S_________ M_________ L _________C12 Cardiac Unisex Tee

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)

S_________ M_________ L _________C15 Cardiac TEAM Baseball Tee

C17 Cardiac Staff Ladies Polo

S_________ M_________ L _________C18 Cardiac Staff Mens PoloXL_________XXL_________ XXXL_________

XL_________XXL_________ XXXL_________

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)C19 Cardiac Staff Unisex Tee

S_________ M_________ L _________

S_________ M_________ L _________

S_________ M_________ L _________C21 Cardiac Staff Ladies Jacket

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.) S_________ M_________ L _________P03 Pulmonary Unisex Tee

S_________ M_________ L _________P05 Pulmonary Ladies Tee

XL_________XXL_________ XXXL_________

XL_________XXL_________ XXXL_________

S_________ M_________ L _________C20 Cardiac Staff Mens Jacket

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)

S_________ M_________ L _________P04 Pulmonary Long Sleeve Tee

P06 Pulmonary TEAM Baseball Tee

S_________ M_________ L _________P07 Pulmonary Hooded SweatshirtXL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)

XL_________XXL_________ (add $3 ea.)XXXL_________ (add $5 ea.)

XL_________XXL_________ XXXL_________ P08 Pulmonary Staff Ladies Jacket

S_________ M_________ L _________

S_________ M_________ L _________

S_________ M_________ L _________P09 Pulmonary Staff Mens JacketXL_________XXL_________ XXXL_________

2018 Cardiac & Pulmonary Rehabilitation Order FormProduct/Ordering DetailsDeliveryAllow 2-3 weeks for regular delivery of in stock products. Order by January 22 for Cardiac Week. Order by February 19 for Pulmonary Week. For rush delivery information, call Customer Service at 847-963-8100.

Copyright InformationThe Cardiac Rehabilitation, Pulmonary Rehabilitation logos and themes are copyrighted and cannot be reproduced without permission from Jim Coleman, Ltd. and the American Association of Cardiovascular and Pulmonary Rehabili-tation. Jim Coleman, Ltd. is the official supplier of AACVPR Cardiac and Pulmonary Rehabilitation Week products.

Three Ways to Order:1. Pre-payment by mail: Send check payable to: Jim Coleman, Ltd. 1500 S. Hicks Rd., Ste. 400 Rolling Meadows, IL 60008

2. Visa/MasterCard/American Express: Fax 1-847-963-8200, or online at: www.aacvpr.org/crprweeks or mail to above address.

3. Purchase Orders fax to: 847-963-8200 or email: orders@jimcolemanltd.com

CUSTOMER PERSONALIZATIONWe can personalize almost any product with your facility name or logo.There is $50 one-time setup charge and minimum quantity requirements. Call 847-963-8100 for details. Personalized orders are to be sent via fax to 847-963-8200, or emailed to: orders@jimcolemanltd.com.

† Shipping & Handling Charges$4.99 or less .......... $3.50 $60.01-$100.00 .......... $11.50$5.00-$25.00 ......... $7.50 $100.01-$149.99 ........ $14.95$25.01-$60.00 ....... $9.95 $150.00 and above................ add 10% of subtotalWithin the Continental USA we ship US Mail and UPS Ground. Alaska, Hawaii, Puerto Rico, US Territories and Canada orders incur double shipping charges and in most cases are shipped US Mail. Overseas orders require a third party account num-ber for shipping charges and we charge a $10 handling fee. For inquiries please contact Customer Service at: service@jimcolemanltd.com or 847-963-8100.

Method of Payment (check one) Prepayment: Make checks payable to Jim Coleman, Ltd. VISA/Mastercard/American Express: Fax to 847-963-8200 or online at www.aacvpr.org/crprweeks

Card #_________________________ Exp. Date _________ Purchase Order: Fax to 847-963-8200 or emailed to: orders@jimcolemanltd.com. NO PHONE ORDERS.1. The vendor on your purchase order must be Jim Coleman, Ltd.2. Purchase orders must be faxed or emailed to: orders@jimcolemanltd.com Submit a copy of the actual purchase order document with completed order form. Purchase requisitions are not acceptable.

Jim Coleman, Ltd. • 1500 South Hicks Road, Ste. 400 • Rolling Meadows, IL 60008 • Phone: 847-963-8100 • Fax: 847-963-8200 • service@jimcolemanltd.com

AP E-mail ______________________________________________________________________________________________

Route to: Cardiac/Pulmonary Rehabilitation Director

330 N. Wabash Ave. Ste, 2000 Chicago, IL 60611

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