WalkerBox, Inc

To order a WalkerBox® you have two options:

You can print the order form below, fill it out appropriately, and mail it with a check or money order for the amount made payable to WalkerBox®, Inc.

You can fill out the order form below and submit it online. Then mail a check or money order for the amount made payable to WalkerBox®, Inc. Once the check is received the order will be filled.

Order Form

Name Shipping Information
(only if different from ordering information)

Street Address Name

Address (cont.) Street Address

City Address (cont.)

State/Province City

Zip/Postal Code State/Province

Home Phone Zip/Postal Code

In case of questions with order

Which walker style do you have?

Price Quantity Total Price:

$28.75 (each)

7.25 % Ohio Sales Tax: ($2.08/box)

(Ohio residents only)

Shipping & Handling:

($4.95/box)

Total Check or Money Order:

(Payable to WalkerBox®)

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