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Complete this form to request catalogs, sell sheets and marketing collateral delivery to the customer's address.
*Single copies can be requested. The address will be considered for future relevant mailings.
First Name
*
Last Name
*
Business Type
*
Ambulatory Surgery Center
Consumer / Patient
Dealer / Distributor
Hospital
Long Term Care
Rehab
Other
Title
Department
Company Name
Street Address
*
Address Line 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Phone Number
Email Address
Please select type of marketing materials you need.
*Please note that depending on your location, your package could take 4 to 10 business days to receive.
*
Catalog
Collateral
Catalog Requests (select up to 3)
*
7910 - Rehabilitation, Orthopedics & Skilled Nursing
7930 - Operating Room & Medical Imaging
7975 - Splints & Braces
7998 - Speech Therapy
7987 - Pediatrics
Please choose product categories to see sell sheet options.
OR & Imaging
Rehabilitation
Orthopedics
OR and Imaging Products
Radiation Protection Products
7593 - Radiation Protection Aprons Smart Id
7563 - Radiation Protection Aprons Smart Id Vizient
7232REV0619 - Thyroid Shields
Straps
7473REV0521 - Alistrap Brochure
7206REV0618 - Strap Solutions
7708 - Patient Safety Straps
7925REV0722 - Universal Table Straps
Positioning
7492REV0618 - Aligel Positioners
7595 - Alilite Positioners
7219REV0219 - A-Line Support
7173REV0318 - Arthroscopic Leg Holder
7097 REV0519 - Laminated Positioning Guide
7223REV0518 - Table Socket Family
Other
7230REV0618 - Sanitary Headset Covers
Orthopedic Products
Ortho
6913 - Adjustable Heel Lift
7646 - Orthopedic Product Selection Guide
Rehabilitation Products
Alarms and Fall Management
7642REV0320 - Alarm One Fall Monitoring
7247REV0318 - Cordless Alarm
Wheelchair Cushions
7670 - Aerocell Wheechair Cushion
7669 - Foam And Gel Foam Wheelchair Cushion
7236REV0519 - T-Gel Wheelchair Cushions
Other
7618 - Bariatric Product Selection Guide
7212REV0618 - Bariatric Bed Pan
7378 - Partners In Durable And Home Medical Equip.
7162 - Partners In Long-Term Care
7610 - Rehab And Physical Therapy Product Selection Guide
7436 - Select Therapy Products
7210REV0917 - The Breather 1.1
Additional requests