Procurement Form
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Please submit one product per form submission.
Please us provide the number in the following format: +1 (999) 999 9999
Provide a link with certifications for FDA, CE, and NIOSH.  Brokers must also provide a written confirmation from the manufacturer confirming supply and delivery, as well as, an official quote on letterhead.
(i.e. deposit or prepayment requirements, payment schedule, if any)
(i.e. ACH, e-check, wire transfer, etc.)