If you prefer to FAX or MAIL your credit card information, simply use the Online Order Process by selecting the items and accessories that you need and then clicking the "Add to Shopping Cart" button which will begin the order process. Fill in all the information as required. However, on the “Bill To" page select payment method “OTHER-EXPLAIN".Then in the comments window, simply tell us you will Fax or mail your credit card information. Make sure to include your Order Number when you fax or mail us and we will match your online order with your card information when we receive it. Finally, print the Online Order Form for your records and click “Continue".
Please be sure to include the full NAME and ADDRESS as it appears on your credit card statement, card NUMBER, and card EXPIRATION DATE. Please be sure to provide contact information (PHONE number) so that we can reach you in case there are any questions. Our FAX is 315-429-8862. Our mailing address is:
Bergeron Health Care Adaptivemall.com 15 South Second Street Dolgeville, NY 13329
If you have any questions, please feel free to either email us at firstname.lastname@example.org or call us at Toll Free 1-800-371-2778 to reach Customer Service. We are here to help!