Kylon® Fabric Devices and Spirabrush CX®
ORDER FORM
CUSTOMER AND SHIPPING INFORMATION
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Product will ship via FedEx - To receive tracking notification, please fill in information for the person receiving the product
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Shipping Continental US: $15.00 per box (up to 250 units per box), Shipping California Customers only: $10.00 per box
All Orders: $5.00 Handling Charge Per Box (up to 250 units per box), Alaska, Hawaii, Puerto Rico - call for rates
DEVICE NAME
ITEM NUMBER
DESCRIPTION
LIST PRICE PER UNIT
QUANTITY
SoftBiopsy®
SFT-1000
Exocervical Tissue Sampler
$5.75 each
SoftECC®
SFT-2000
Endocervical Curette Tissue Sampler
$5.75 each
SoftECC-S®
SFT-2100
Endocervical Curette Tissue Sampler (for short, shallow, or stenotic cervix)
$5.75 each
Prices shown are list, if requested quantities qualify for volume discounts, the volume based pricing will be included on the final invoice
Experience the benefits of using minimally invasive biopsy devices! Try our - Introductory Sample Package
3 Soft Biopsy®
2 Soft ECC®
1 Soft ECC-S®
2 SpiraBrush CX®
Introductory Package: $40
for all 8 devices
(includes tax and shipping!)
(Limit One Per Customer)
To order an introductory sample package, check below the form.
DEVICE NAME
ITEM NUMBER
DESCRIPTION
LIST PRICE PER UNIT
QUANTITY
Spirabrush CX®
SBX-9000
Cervical Biopsy Device
$6.75 each
Prices shown are list, if requested quantities qualify for volume discounts, the volume based pricing will be included on the final invoice
PAYMENT INFORMATION
ORDER SUBMISSION / PRODUCT SUPPORT
