Order Form

Quantity	Item #	Item Description	Price
	B102	Stereotactic Biopsy Tray - 10/case	$289.00
	BR201	Brachy Bandage™ - 25/case	$100.00
	FA201A	AccuFitTM Siemens/Fischer® Autoguide Drape - 25/case	$376.25
	FT301	AccuFitTM Siemens/Fischer® Table Cover - 25/case	$148.75
	LS601	AccuFitTM Lorad® Table Drape System-20/case	$200.00
	LS701	AccuFitTM Lorad® Stage Drape System-20/case	$220.00
	LS702	AccuFitTM Lorad® One Piece Stage Drape System-20/case	$220.00
	US401	Ultrasound Biopsy Drape - 25/case	$119.75
	MGE48H	AccuFitTM MRI Headrest Disposable Cover - 100/Case	$149
	INV4C	AccuFitTM MRI Breast Coil Disposable Cover - 50/Case	$89.50
	INV78C-1	AccuFitTM MRI Breast Coil Disposable Cover - 100/Case	$369
	INV78CT	Breast Coil Cover Trial Pack - 15/Case	$63.75
	MT201A	MRI "Non-ferro magnetic" Tray - 10/Case	$399/cs
	TDS701	MRI "Non-ferro magnetic" Disposable Scalpel - 4/pkg	$95
	IN904	MRI "Non-ferro magnetic" Needle 22g 9cm - 4/pkg	$100
	SCD301	AccuFit™ Sentinelle MRI Breast Coil Drape - 25/case	$149.75
	SHR310	Sentinelle Large Headrest cover - 100/case	$149
	DYNJP2405	Utility Drapes w/Tape, 2 per pack - 100 pk/case	$67.60
	DYNJSM03	Fine Tip Skin Marker with Ruler - 50/case	$49.15
	PINK6073	PINK6073, XS 100/bx, 10bx/cs	$54.90
	PINK6074	PINK6074, S 100/bx, 10bx/cs	$54.90
	PINK6075	PINK6075, M 100/bx, 10bx/cs	$54.90
	PINK6076	PINK6076, L 100/bx, 10bx/cs	$54.90
	BRBU	Breast Bar Unscented 300 minimum	$315.00
	BRBL	Breast Lotion Unscented 300 minimum	$309.00

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Appropriate shipping charges will be added.
Pricing subject to change without notice.
PRICES EFFECTIVE 01/01/2009

You may also fax your original P.O. to 720-304-2512