Splash Direct Ordering – Fax Form.pdf

SplashDirectOrderingForm.pdf
Preview of Splash Direct Ordering – Fax Form
🔗 Source: splashcap.com
📊 Size: 439 KB
👤 Author: Joseph Schultz
⬇️ Downloads: 128

Summary


Address:

City:
State Zip
Tel:

Email:

Credit Card Information:
Circle: Amex Visa MC
Credit Card#:
Expiration: / Card Code:
Name:
on Card
Address:

City:
State Zip
To order the:
SplashCap
EyeCap
AbscessCap
EarCap
Contact our distributor Essity
(formerly BSN): 800-552-1157.
SPLASH MEDICAL DEVICES, LLC
ATLANTA, GEORGIA 30342
[email protected]
EasiEar – Comfort Curette
40025: 25/Box $ 69
40300: 300/Box $225
Schnozzle – Nasal Adapter
70050 50/Box $187.50
NoseCap – Nasal Bottle Adapter
80050 50/Box $225
CanadaCap – Wound Irrrigation
100500
EyeCap – Water Bottle Adapter
200001 50/Box $225
+ $15.00 shipping

$
Total
Direct Ordering Form:
scan & email form to [email protected]

scan & email form to: [email protected]
Note: Use this form only for the
direct ordering of the products listed
in the box above using a credit card.

Description

____________________________________
Address: ___________________________________
____________________________________
City: _________________State ...

Technical Information

  • File Format: PDF
  • File Size: 439 KB
  • Pages: 1
  • Language: EN
  • Author: Joseph Schultz
  • Total Downloads: 128
  • Last Updated: 10 hours ago

Document Overview

This PDF document about Splash Direct Ordering – Fax Form provides comprehensive information and guidance. Whether you're a beginner or advanced user, this resource offers valuable insights into Splash Direct Ordering – Fax Form.

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