Upon receiving your order, an HES representative will contact you within two business days for payment. Once payment is received, we will mail your order to the address provided. Widex Aid Supplies Order Form: Name * Address * City* State* Zip * Phone* Email Please Select: Phone Dex Cordless Phone TV Connector System Com Dex + Remote Mic UniDex Plugin Neckloop Perfect Dry-Lux Other If other, please explain: Δ