Blueair MD Professional Series, User Manual

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Filter Subscription Card
Use this Order Form for
Free Delivery and Automatic
Shipment of Filters.
Name
Company
Address
City State Zip
Phone Fax
E-mail
Name of cardholder
Type of credit card
Credit card number
Expiration date
Authorized signature
Model Medical
I would like to receive free delivery of the HEPA Filter , twice a year.
I would like to receive free delivery of the VOC Filter, twice a year.
Program Start Date .
Credit Card
By marking this box and signing my name below, I hereby authorize Blueair to bill my credit card for the filter kit
option selected above, twice yearly, for the convenience of automatic filter shipments. Blueair will continue to
invoice my credit card until I decide to cancel the automatic shipment in writing. This must be done either by
sending a fax to: (312) 245-5272 or by sending a letter to: Blueair Inc., 435 North LaSalle Street, Suite 410,
Chicago, IL 60610, including a signature.