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↖ Company Site |  Compassionate Debridement and Biopsy Devices for Veterinary Care

Order Form (NEW)

Kylon® Fabric-Based Advanced Veterinary Care Devices
ORDER FORM
CUSTOMER AND SHIPPING INFORMATION
Date:
PO #:
Customer / Company Name:
Person Ordering:
Referred by:
Phone #:
Email:
Ship to address:
City:
State:
Zip:
Product will ship via FedEx - To receive tracking notification, please fill in information for the person receiving the product
Receiving Person Name:
Phone #:
Receiving Person email:
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
Volume Discounts Available:
$5.50/ea. for 250 or more devices
Can be a combination of device types
$5.25/ea. for 1000+ devices
Additional Discounts available for orders over 5000 units
25 Unit Minimum Purchase
DEVICE NAME
ITEM NUMBER
DESCRIPTION
PRICE PER UNIT
QUANTITY
SoftBiopsy®-V
VT-1000
Biopsy brush tissue sampler
Not for debridement
$5.75 each
Soft K-Cot®-V
VT-4200
Finger cot brush-curette for wound hygiene, debridement, and tissue biopsy sampling
$5.75 each
Soft K-Rette®-V
VT-4500
Brush-curette for interdigitary or wound crevice debridement and tissue sampling
$5.75 each
PAYMENT INFORMATION
ORDER SUBMISSION / PRODUCT SUPPORT
Invoices will be sent via e-mail with secure online options for credit card payment. If you prefer, you can mail a check to:
Histologics, LLC 4095 E. La Palma Ave., Suite N
Anaheim, CA 92807
Fax: 1-888-738-9757 or scan and email form to:
This email address is being protected from spambots. You need JavaScript enabled to view it.
Customer Support: 888-235-2275 / This email address is being protected from spambots. You need JavaScript enabled to view it.
Request a sample pack of our veterinary devices with your order: 3× SoftBiopsy-V, 3× Soft K-Cot-V, 2× Soft K-Rette-V. One per customer.