Plastic/ENT Surgical Instrumentation - Sontec Instruments

Bill To:
Company / Practice Name
Street Address
14.3
Sontec
®
Instruments
7248 South Tucson Way • Centennial, CO 80112 USA •
toll-free: (800) 821-7496 • local: (303) 790-9411 • fax: (303) 792-2606
e-mail: sales@sontecinstruments.com
Order Form
City State Country Zip / Postal Code
( )
Telephone Number
Ordered By
E-mail Address
Practice Owner
Suite Number
( )
Fax Number
Customer Number
For faster service, please order by name, item number,
and size. Shipping and insurance charges are prepaid
and added to your invoice.
Quantity Item Number Description Size Price (U.S. $)
Please use additional order forms if necessary. SUBTOTAL*
After completing out your order, please fill out the Billing and Shipping Info
form on the next page
*freight will be
added to subtotal