EMAIL ORDER

Email Us Your Order

Instead of faxing in your order, fill out the form provided and we'll email you a copy of the Purchase Order for your records.

Email Address
Email Address To Send You A Copy
Full Name
Company Name
Ship To Address
Bill To Address
Telephone Number
Account Number
5-HOLE FOAM INSERT (INF-FI-5)	Case Qty.
BIOSORB POWDER 16 OUNCE BOTTLES (INFBIO-16A)	Case Qty.
BIOSORB POWDER 16 OUNCE BOTTLES (INFBIO-16)	Bottle Qty.
BIOSORB POWDER 2 OUNCE BOTTLES (INFBIO-20)	Case Qty.
BIOSORB POWDER 8 OUNCE (INFBIO-80)	Case Qty.
BIOSORB STRIPS BY THE CASE (INFBIOS-425225-2) - $370.00	Case Qty.
BIOSORB STRIPS (INFBIOS-425225-1)	Pack Qty.
DIAGNA-PAK 95 KPA BAG (INFDIAG-95)	Case Qty.
DIAGNA-PAK AMB (INFDIAG-AMB-1)	Case Qty.
DIAGNA-PAK 17B (INFDIAG-17B)	Case Qty.
DIAGNA-PAK 20B (INFDIAG-20B)	Case Qty.
SMC-7 SINGLE MAILING CASE (INFSMC-7)	Case Qty.
SMC-10 SINGLE MAILING CASE (INFSMC-10)	Case Qty.
INFEKTA-PAK 1 (INF-1)	Case Qty.
INFEKTA-PAK 1 - 4-Pack (INF-1-4)	Case Qty.
INFEKTA-PAK 2 (INF-2)	Case Qty.
Class 6 Infectious Substance (IPIL-1-BK-6)	Pack Qty.
UN 3373 Diagnostic Specimen (IPIL-3)	Pack Qty.
UN 3373 Diagnostic Specimen (IPIL-2)	Pack Qty.