Medwork Instruments
ORDERS: (800)323-9790    INQUIRIES: (360)574-3927    FAX: (888)523-2128
13023 NE Highway 99 Suite 7-3, Vancouver, WA 98686

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MAIL or FAX a completed copy of this order form (or your own form so long as it contains the same information). Address and fax number noted above. 

INDIVIDUAL OR CORPORATE MC/VISA/AMEX # __________________________________________________ 

EXP _______ Signature (required) _______________________________________ and name as it appears on the card

 _________________________  Billing address:  _______________ ___________________________ ____________________

ZIP ______________ Complete shipping address (must not be Post Office for UPS) :(Be sure to include suite number, floor number, room number as UPS can be quite ruthless about returning packages without this information. Also please indicate whether the destination is considered a business or a residence.) Should package be marked to anybody's  Attn: ___________  in Dept. _____________ _  ______________ ________________ ____________________ Complete physical address: _______________ __________________ ______ _____ 

_________________________________________________City ______ _________________________ _ ZIP __________

Phone, Ext. #(________) _________ -- _______________ REFERENCE NUMBER IF ANY (PO, ETC.) _________ ______

 ___________  If we have a question or problem with your order we would contact you otherwise we will not call.   

 

Qty

Description and / or Catalog Number

Color

Str or Crv

Cost EA

Total Cost for Item

                                                                           In TN add 9.5% tax ____________________

                                                                             Add shipping (see below ________________

                                                                                                                 TOTAL FOR ORDER  ______________

Call our Toll Free Order line 800-323-9790 if you have any questions or need to arrange special shipping.

Shipping is via UPS Ground unless special arrangements are made. Ask for shipping quote on shipments outside continental USA for 2 lbs. to AK and HI, $7.45 USPS Priority Insured. Non residential addresses up to $100.00, add $6.50. For residential delivery cost is based on weight and zipcode but a single stethoscope, reflex hammer or set of tuning forks is generally $6.50. Please call to get shipping cost if a large order that might be heavier than 2 lbs. It will depend on delivery location and weight. UPS offers overnight, two-day, Saturday and 3-day service for additional charge to most locations. For maximum flexibility try to have a business address for delivery if you need to expedite.

 

FAX NUMBER: 773 751-2055  

Medwork Instruments is Registered with the FDA.

PURCHASE ORDERS: Minimum $50.  We do not accept purchase orders from medical groups, individual offices or practices. We accept purchase orders from State and Federal institutions ONLY.  This allows customers who do on-going business with us to order quickly and develop a friendly relationship -- like running a tab at your neighborhood restaurant.   We accept Mastercard, Visa, American Express and payment by check for ALL other business.  Thank you for your understanding. 

OUR CATALOG IS ONLINE. WE DO NOT HAVE A PAPER CATALOG.

We reserve the right to correct any typographical error in our copy. If there is an error that may lead to a misunderstanding in an order we will notify the customer and ask if they would like to change or cancel their order. Thank you.

If you prefer to mail or fax your order please use this page as a guide. By mail: Write down the name or catalog number of the instrument you want. If there is a color choice or "Option" write down what you want. Send the information to us at

Medwork Instruments
13023 NE Hwy 99 Ste 7-3
Vancouver, WA 98686.

  Include your email address and we will send you a confirmation before the order is processed to be sure everything is as you request. Shipping is $6.50 MINIMUM UPS GROUND or $7.45 US Post Office Insured. UPS ships to street addresses only. Please be OVERLY COMPLETE!! Washington orders must include 8.2% State & County Sales Tax, on order total AND shipping.

2015 Medwork Instruments Inc. All Rights Reserved