More Information for Urologists

More Information

Order the No Scalpel Instruments

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Order Details


Please select instrument package you would like to order:
 

Four Sets of Instruments & Video @  $459.00 (8 Instruments Total)
Two Sets of Instruments & Video @  $299.00 (4 Instruments Total)
Shipping and Handling (included - no extra charge)  
Order Total ($)  

Shipping Address and Contact Details

 
Physician/Practice Name:
Address:
City: State: Zip:
Contact Name:
Contact Phone:
Fax:
Contact E-Mail:

 

Payment Details

 

Pay via Credit Card
Visa Card Number: Exp Date:
MasterCard

Pay via Telephone After clicking the 'Submit Order' button please follow the instructions to pay by credit card over the phone.

Pay via Check After clicking the 'Submit Order' button please follow the instructions to pay by mailing us a check.

Pre-payment is required before your order will be shipped.

   
More Information

Order the No Scalpel Instruments

List Your Practice

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