The Order Form
Transcription
The Order Form
Date: Shipping: Name: Address #1: City: Address #2 State: Zip Code: Country: Credit Card: Type of Card: Number: Expirations: Security Code: Name on Card: Address #1: City: Country: Other Info: Phone Number: E-mail Address: Address #2 State: Zip Code: Order: Price Transilluminator | Vein Finder | Venoscope II | (VT 03) $220 The Venoscope® II transilluminator, The Vein Finder™, allows a clinician to easily locate hard to find veins, making it faster and more efficient for health care providers and clinicians to deliver a higher level of quality care. Transilluminator Disposable Protective Covers (DPC 050) $15 The Disposable Protective Covers are made of clear plastic, no latex, and are designed to cover the Venoscope® II so that blood or body fluids do not contaminate the light. Velstretch Straps (VSS 10) $25 The Velstretch Straps allow the nurse to free up both hands for the venipuncture and to help stabilise the vein to prevent vein rolling. Pack contains 10 straps. Venoscope II Carrying Case (VTC) $15 The Venoscope Carrying Case allows the nurse to easily carry the Venoscope throughout the day. The convenient belt clip easily attaches to a belt or lab coat pocket. Neonatal Transilluminator (NT 01) $335 The Neonatal Transilluminator designed specifically with you and the neonate (or new-born) in mind. We’ve taken all the great features of the Venoscope® II and put them into a transilluminator that better serves the special needs of your neonatal patients. Neonatal Transilluminator Disposable Protective Covers (NTDC 050) The Neonatal Transilluminator Disposable Protective Covers are made of clear plastic, no latex, and are designed to cover the Neonatal Transilluminator LED lights so that blood or body fluids do not contaminate the light. $15 Qty Neonatal Transilluminator Carrying Case (NTC) $15 The Neonatal Transilluminator Carrying Case is designed to conveniently hold and protect the neonatal transilluminator. Neonatal Transilluminator Detachable Cord (NTLC) $25 The Neonatal Transilluminator Detachable Cord for the Neonatal Transilluminator was introduced because of excessive breakage of the attached cord due to pulling and twisting. Shipping: $15 UPS Ground In addition to the cost of the items ordered, you will receive a charge for the cost of shipping.