Instruments for the General and
Colorectal Surgeon
Prices in US
Dollars
Name ___________________________________________ Buyer ____________________________ Address _____________________________________________________________________________ City/State/Province ________________________________ Zip/Postal Code, Country _____________ Phone _____________________ Fax _____________________ Email ___________________________
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
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