C L I P B OA R D P R I C E S :WITH CALCULATOR: $22.9525+ ..................$19.95 per clipboard50+ ..................$17.95 per clipboard

WITHOUT CALCULATOR: $19.9525+ ..................$16.95 per clipboard50+ ..................$14.95 per clipboard

STORAGE TRAY: $8.00FREE laminated Pediatric Reference Sheet includedwith every clipboard outlining pediatric outcomes,reflexes and developmental milestones, a $9.00 value.

SHIPPING CHARGES: Please add the followingamounts to your order for shipping charges:1 - 5 ..................$2.50 per clipboard6 - 24 ................$1.25 per clipboard25+ ....................$0.75 per clipboardFor trays in any quantity, add $0.75 per tray.

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

You may order online, at www.clipboards.org, using a Visa or Mastercard. We also accept checks,money orders, or purchase orders. Please allow ten business days for shipment of your order.

An optional storage tray is available, for both thestandard clip as well as the calculator clipboards, at$8.00 plus $0.75 shipping for each tray in any quantity.

GET THE JUMPON YOUR CLINICALS

WITH THE ULTIMATE

ANATOMY REFERENCE CLIPBOARD

A N AT O M Y R E F E R E N C EC L I P B O A R D I N C L U D E S :• 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

Q U ES T ION S ? Contact us at:Clipboards by Kwik KlipPhone: 800-653-7017 Fax: 954-212-2411 E-mail: clipboards@earthlink.net Website: www.clipboards.org