Your Name (required):
Your Email (required):
Your Telephone Number (required)
Your Clinic Name (required)
Your Ocean Site Number (Please enter 0 if no site number available)
I am interested in ordering the following:
Floor Stand Kiosk ($550 + Shipping)
Countertop Kiosk ($310 + Shipping)
Please confirm the Android Tablet model you are using to ensure appropriate Kiosk size Samsung Galaxy E 9.6"Samsung Galaxy A 10.1"
For Clinics in Ontario, British Columbia and Nova Scotia only:
In order to support self-check-in with a built-in magnetic card reader, the Ocean Kiosk requires a peripheral package and supported tablet model. Supported tablets include the Samsung Galaxy A (10.1”) and the Samsung Galaxy E (9.6”) Tablet. The peripheral package includes:
Yes, I require peripherals (You will be invoiced for each bundle)
Please provide your shipping contact name and address
*Please note that Kiosk stands do not ship until payment is received.
*Please note that Kiosk stands may only be returned or exchanged within 30 days of purchased, undamaged and in the original box. Kiosk returns are subject to a restocking fee of $150.00.