Non-Latex Bands model 30013NL 100's 15.00 GRAY
Latex bands model 30013 100's 11.00 BLACK
| Model # | Name | Qty | Price |
| 30013 | LATEX Hemorrhoid bands 100's black | 11.00 | |
| 30013NL | NON-LATEX Hemorrhoid bands 100's gray | 15.00 | |
| 30031 | Ligator alone style two | 360.00 | |
| 30030 | Ligator set style two | 435.00 | |
Name ___________________________________________ Buyer ____________________________Address _____________________________________________________________________________City/State/Province ________________________________ Zip/Postal Code, Country _____________Phone ___________________________________ Fax __________________________________
P.O. (required if hospital)____________________________ Date _____________________________
Method of Payment:
1. DOCTORS US and Canada, No advance payment required, fax order, payment due 30 days after delivery
2. HOSPITALS US and Canada, Purchase orders accepted, no advance approval necessary, payment due 30 days after delivery
3. Others, Fax request, pro forma invoice will be return faxed with method of payment outlined.
4. MINIMUMS: International 100.00 USD, USA & Possessions 33.00
Mastercard, Visa, American Express ___________________ Credit Card Number _________________________ Expiration Date _________Shipping: In US, United Parcel Service ground with charges added to invoice. If air delivery necessary must be authorized at time of order. Outside US, all shipments are via United States Express Postage insured.
Fax Orders and Inquiries to:
George Percy McGown, 122 Wyckoff Street, Brooklyn, NY 11201
Phone: 954-435-0845, Fax: 954-435-0864