Latex-free
Product Line
Online Order Form
Click
HERE
for the main product line order form.
Date
Account #
Bill To:
Ship To:
Address
Address
City, State, ZIP
City, State, ZIP
Person Placing Order
Phone #
Ext
Purchase Order#
Req/Rel #
Tetra Vendor #
Shipping
Next Day
2 Day
Regular
Quantity
Unit
Description
Stock Number
Special Comments
Please review your order for accuracy and print a copy of this completed form before submitting!
NOTE:
Some of the products available for ordering from Tetra Medical Supply Corp. require the authorization
of a licensed physician. A sales associate will verify each online order placed by a telephone call.
You may be asked to provide proof of authorization for these products. If you have any questions,
please contact Tetra Medical Supply directly at 800-621-4041.
(c) 1998 by Tetra Medical Supply Corp. All rights reserved.
