Classified
AD
Used Equipment Form
To submit a piece of
used therapy equipment for sale on the website, please...
1. Please print this page.
2. Include a photo of product.
3. Return the form, picture, and payment to:
TherapyMarket Inc
219 Appoquin Dr.
Middletown, DE 19709.
Submit questions to info@pediatricphsyicaltherapy.com
Seller Information
Name ___________________________________________
Address _________________________________________
City ____________________________________________
State ___________________________________________
Phone Number ___________________________________
Email Address ___________________________________
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Used Therapy Equipment Information
Manufacture _________________________________
(ie. Rifton)
Product Name ________________________________
(ie. Gait Trainer)
Size ________________________________________
(ie medium, 18 inches to 27 inches patient height, etc)
Product Number (if known) _____________________
(ie R14)
Approximate Age ______________________________
(ie 5 years old)
Condition (circle one)
| Excellent | (no tears, everything works, barely used condition) |
| Good | (minor wear, includes all parts, minor flaws) |
|
Fair |
(worn material, parts missing, needs minor repair) |
| Poor | ( needs major repair, missing parts, heavily worn) |
Description of Equipment
(This will appear on the ad) _____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Selling Price __________________________________________________
Remember a photo of the equipment is required with this form.
You are solely responsible for content. By posting an ad in the www.pediatricphysicaltherapy.com
Classifieds, you agree that you will not post any material that is libelous,
defamatory or unlawful, or that violates or infringes any trademark, copyright
or similar rights of others.
Cost
Please send check or money order with the form. Checks will
be processed first before classified ad is placed on the website. Products
will be removed when the seller notifies www.pediatricphysicaltherapy.com
or if the product does not sell in 6 months.
Checks to be written out to TherapyMarket Inc.
|
Equipment Sale Price
|
|
| Under $25.00 | $5.00 |
| $25.00 to $200.00 | $20.00 |
| Over $200.00 | $35.00 |