Better Health Ltd.
The Wellness Centre
Westshore Medical Centre, Cocorite
Trinidad and Tobago
Purchase Order
For a Personal Wellness Profile
Name:
E-Mail:
US TT
Currency	1		Profile:	Teenager 20-30 30-40 40-50 50-60 over 60
			Level:	Basic Standard Executive Senior Executive
	Laboratory results supplied by client no Fitness Assessment		Cost:
Less:
Additional tests:		HbA1c Mammogram Pelvic Ultrasound
			Total:
Date:
Please make cheque payable to Better Health Ltd.
Print two copies and send one along with your cheque to the address above.